公司會員申請 - 大灣區健康產業協會

公司會員申請表
Corporate Membership Application Form

*為必須填寫項目 * Required

公司名稱 (中文)

Company Name (ENG)

茲願遵照貴會章程加入為公司會員。

We are willing to join as the Corporate Member in accordance with the articles of Association.

本公司經由介紹人（如適用）
Our Company is recommended by

會員類別及入會要求
Membership Types and Requirements

請選擇以下適用選項 Please select ONE of the applicable option below

公司會員 Corporate Member
持有香港商業登記證的商號或公司，並在香港或大灣區從事健康產品、服務或行業的業務，須一次性繳交相關會費。備註: 持有香港商業登記證之公司會員，均享有投票權利。
Any trade name or company holds a Hong Kong Business Registration Certificate and engages in the business of health products, services or industries in Hong Kong or the Greater Bay Area. One-time payment of relevant membership fee is required. Note: Corporate Member who possess a Hong Kong Business Registration is entitled to vote.

大中華/海外公司會員 Greater China/Overseas Corporate Member
持有國內或其他認可海外政府營業執照的商號或公司，並從事健康產品、服務或行業的業務，須一次性繳交相關會費。備註: 大中華/海外公司會員均不會享有投票權利。
Any trade name or company holds a valid Business License in China or overseas and engages in the business of health products, services or industries. One-time payment of the relevant membership fee is required. Note: Greater China/Overseas Company members shall not have voting right.

會費 Membership Fee:

首屆會費享有半價優惠 First Session Special Offer 50%OFF Membership fees

請選擇以下適用選項 Please select ONE of the applicable option below
以下為折扣後會費 Discount has been applied to the Membership Fee listed below.

公司會員 : 港幣一千五百港元正（可填寫3位個人代表公司）
Corporate Member: HKD One Thousand Five Hundred Only (three individuals can be listed as company’s representative)

大中華/海外會員: 港幣一千五百港元正（可填寫3位個人代表公司）
Overseas Member: HKD One Thousand Five Hundred Only (three individuals can be listed as company’s representative)

會董: 港幣一萬港元正
Director : HKD Ten Thousand Only*

副會長: 港幣二萬五千港元正
Vice President : HKD Twenty-five Thousand Only*

常務副會長: 港幣三萬港元正 (必須先完成一屆副會長任期)
Vice President :HKD Thirth Thousand Only* (Must first complete one term of Vice President)

副會長及會董會費已包含公司會員費用Vice President and Director’s Membership Fee already includes Corporate Member’s membership fee.

公司資料 Company Profile:

請填妥中、英文資料 Must fill in Chinese and English

公司地址

請輸入中文地址

Company Address:

Please enter English Address

通訊地址
(如與上述地址不同)

Mailing Address
(If different with above)

公司電話 Company Telephone

傳真 Fax

電郵 E-mail

網站 Website

Representative’s Name

電話Telephone

手提 Mobile

職位

Position

公司首次註冊年份
Year of First Incorporation

商業登記證號碼
BR No. ：

公司簡介

Company Profile

產品

Product

品牌Brand

主要市場 Main Market

行業分類： (如：製衣、日用品等)

Product Category： (e.g.: Garment, Toys, etc.)

業務性質Nature of Business
請選擇以下適用選項 Please select ONE of the applicable option below

製造商 Manufacturer

批發商 Wholesaler

零售商 Retailer

代理商或分銷商 Agent or Distributor

專業服務 Professional Service

出入口商 Importer & Exporter

其他 Others其他 Others

公司代表
Company’s Representative(s) :
每間公司會員至少須填寫1位公司代表。Each Corporate Member must fill in at least one company representative

姓名(中文)

Name (ENG)

職位 Position

電郵 E-mail

電話 Telephone

手提 Mobile

姓名(中文)

Name (ENG)

職位 Position

電郵 E-mail

電話 Telephone

手提 Mobile

姓名(中文)

Name (ENG)

職位 Position

電郵 E-mail

電話 Telephone

手提 Mobile

願意接收本會透過電郵或手機發放的推廣通訊。
Would your Company like to receive the promotion/communication released by e-mail or mobile from us?

願意 Yes

不願意No

申請手續及審批
Application and Approval :

所有入會申請表須經會董會審批，入會申請如不獲接納，會費將發還申請人，本會保留最終決定權。

All membership application must be approved by the Board of Directors of the Association, the membership fee will be refunded to the applicant if the application is not accepted. The Association reserves the rights for final decision.

1. 會費 (請提交轉帳收據或熒幕截圖)/ Membership Fees (Please submit payment receipt or screenshot)

直接銀行轉帳/存入支票或現金 Direct Bank Transfer/Deposit by Cheque or Cash
轉數快 FPS ID： 165298704
帳戶名稱 Account Name：大灣區健康產業協會有限公司 / Greater Bay Area Health Industries Association Limited
銀行名稱 Bank Name：中國銀行(香港) Bank of China (Hong Kong)
銀行編號 Bank Code：012
帳戶號碼 Account Number: 012-742-2-019657-8
**付款後，請將付款收據/證明 Submit payment receipt or screenshot (WhatsApp: (852) 51003200 | Email: info@gbahia.com.hk)

2. 商業登記證副本 / Business Registration Certificate Copy

Maximum upload size: 1MB

3. 公司名片 / Business Card

Maximum upload size: 1MB

4. 品牌或公司商標 / Brand or Company Logo

Maximum upload size: 1MB

5. 網頁或微信二維碼 / Website or WeChat QR Code

Maximum upload size: 1MB

6. 產品照片 / Product Photo

Maximum upload size: 1MB

聲明
DECLARATION

本人謹代表本公司申請加入大灣區健康產業協會，同時接受大灣區健康產業協會之會章，並願意遵守協會的協會宗旨、規則和條文。

On behalf of the company, I hereby apply to join the Greater Bay Area Health Industry Association, and agree to abide by the Articles, Rules and Regulations of the association.

本人聲明，就本人所知，申請表內填報的資料是真實和正確的；本人明白，填報任何虛假或誤導性資料，可導致申請被撤銷

I declare that, to the best of my knowledge, the information provided in the application form is true and correct; I understand that providing false or misleading information may result in the application being withdrawn.

本人同意，本表格所提供的資料可刊登於大灣區健康產業協會會員名錄中，並用於其他協會活動或交流。

I agree that, the information provided in this form can be published in the Greater Bay Area Health Industry Association Membership Directory and used for other GBAHIA events and communications.

If you are human, leave this field blank.