M-011会籍申请表(2)

I prefer club mailings to be sent to my residential address住宅地址 my office address公司地址 请将会所信件寄到

Signature 签署

4.For Second Nominee’s Supplementary Card Applicants 供第二提名人之附属卡申请人填写

SPOUSE INFORMATION配偶资料

Full Name 姓名 (Surname first 请先写姓氏，in English英文) 中文全名 (if applicable如适用者)

国籍

Company Name 公司名称

Phone No. 联系电话

Date of Birth 出生日期 Day日 / Month月 / Year年 ID/Passport No. 身份证/护照号码

Company Address 公司地址

Signature 签署

会籍申请表

5.For All Applicants 供所有申请人填写

Additional Information会员其他资料

Reasons for joining the Club参加该会所之原因

□Company benefit公司福利 □For family leisure家庭消闲 □Sports facilities会所设施

□Introduced by Member会员推荐 □Enhance business networking扩展商务联系 □Dining facilities餐饮设施 □Investment投资 □Associated Clubs benefits国际联网会所权益 □Club’s reputation会所声誉 □Pursue hobbies发展兴趣 □Others其他 (please specify请注明)

We/I, the undersigned, hereby apply for member(s) of Naga Club. We/I agree to be bound by and abide to all the By-laws of the Club plus the published rules and regulations of the Club and any amendments. We/I confirm on this application form is accurate.

吾等/本人兹申请成为Naga 会之会员。吾等/本人同意遵守本会所所订立的规则，以及公布的会所条例和任何修订条款。本人证实以上填写各项皆正确无误。

Upon the approval of the Committee, members shall pay their Joining Fees plus 12 months’ monthly subscription. After 12 months, monthly subscription is payable in advance. If a member’s monthly subscription remains unsettled, the Club will issue a statement of payment to the member who should settle his/her account within 14 days, otherwise the Club reserves the right to terminate his/her membership and his/her Joining Fee will not be refunded.

申请人接纳成为正式会员时，需缴付会籍全数入会费及十二个月之月费；十二个月后，月费将按年以上期方式收取。如会员欠交月费，会所将发出付账催收单，如十四天内仍未清缴欠款，则会所有权终止或取消其会籍，同时其入会费则不获退还。

Applicant’s Signature申请人签署

Date日期 Company Chop公司盖章 （if applicable如适用者）

FOR OFFICE USE ONLY 只供会所填写

Date Received收件日期 Handled By 负责人 Reference Checks履历覆核 Accepted by Club Manager会所经理审批Acceptance Date入会日期 Membership Number会员号码 Joining Fee入会费: by cash现金支付 by credit card 信用卡支付 by cheque支票支付bank name银行名称

Issue发出: Receipt收据 Invoice发票

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