MEMBER REGISTRATION
To become Antibac member, please fill out the following form:

The boxes marked (*) must be filled in.
Company Name :
Salutation*
 : Mr. Mrs. Ms.
First Name* :
Last Name* :
Email* :
Tel* :
Fax :
Address
 :
Country
 : Hong Kong China
Age : Below 25 26-30 31-35 41-45 Over 45
Month of Birth :

Other Information

How do you know our product?
Our Salesman TV Buses Friend Magazines
Newspapers Radio MTR Retail Others
Average Monthly Income:
HK$12,000 or below HK$30,001 – HK$36,000
HK$12,001 – HK$18,000 HK$36,001 – HK$42,000
HK$18,001 – HK$25,000 HK$42,001 – HK$48,000
HK$25,001 – HK$30,000 HK$48,000 or above
Education level:
Primary or below
Secondary
College
University or above
Interests:
Sports Dining out Fitness & Healthcare
Travel Investment Computer/IT Products
Beauty Driving Personal Education
Fashion Movie/Music Audio & Video Products
© 2007 Antibac (Hong Kong) Limited. - All Rights Reserved. Designed by YSD.