Cosway Agent of Kwun Tong Cosway Store in Vancouver CANADA

COSWAY 觀塘科士威店

科士威（香港）有限公司

VIP 購物者申請表

COSWAY (HK) LIMITED

VIP SHOPPER APPLICATION FORM

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申請人資料 APPLICANT'S INFORMATION

申請人姓名或公司名稱（需與身份證明文件或商業登記證相同）/ Applicant's Name or Company Name (As shown on identification document or business registration document）

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性別/Gender 男/Male ________ 女/Female ________

生日月份/Birthday Months ____________________________________

手提電話/MOBILE NO. _________________________________________

電郵地址/Email Address ______________________________________

推薦人/Introducer :

有/Yes. 請於下方填寫你的推薦人資料 Please fill your introducer information below

沒有/No. 即同意由COSWAY公司/店舖安排推薦人事宜 Introducer will be arranged by COSWAY Company

推薦人資料/INTERODUCER'S INFORMATION [IF APPLICABLE]

推薦人姓名/Introducer's Name ______________________________

推薦人編號/Introducer's ID __________________________________

申請日期/Date of Application ________________________________

申請人簽名/Applicant's Signature

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新產品及促銷資訊/Promotional Materials

本人同意使用上述之個人資料透過電子通訊形成收取直接促銷資訊

I agree the use of the above personal data for receiving direct marketing materials ___________________

本人拒絕使用上述之個人資料收促銷資訊

I object the use of the above personal data for receiving direct marketing materials ___________________

請確保填寫正確的電郵地址。你的登入密碼及公司資訊將發送至此電郵地址。有關登入密碼可用於登入網絡辦公室及網絡商店。

Please be sure to fill in the correct email address. Your login password and company information will be sent to the email address. The login password will be used to login to the Online office and Online store.

如欲收取郵寄報直接促銷資訊，請於官方網站www.cosway.com.hk 登記。

If applicant prefer to receive promotion materials by post, please register at the official website www.cosway.com.hk

申請人一旦向本公司提供個人資料及申請人同意的情況下，即視同其已同意本公司之「個人資料收集

及使用聲明」並授權本公司於法例許可之範圍內將所收集之個人資料用於該聲明所述之用途及處理。如欲索取聲明，請登入www.ecosway.biz

By submitting information and subject to your consent, you acknowledge that you agree and accept the personal data collection and the statement of the Company and hereby authorize the Company to use the personal data collected for related usages and processes legally as specified on the Statement. The statement can be viewed on www.ecosway.biz.

VIP 購物者編號 VIP SHOPPER No.: _______________________________

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COSWAY 店舖印章 Store Chop

承辦人 Person In Charge _________________________

日期 Date: ______________________

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COSWAY HK 科士威公司職員填寫

For Office Use Only

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觀塘科士威店香港九龍觀塘牛頭角道300-302號裕民中心地下9號舖位