Registration Form
Issue No. : 260
1.  Name (Chinese) : *
Name (English) : * (First Name)
* (Last Name)
2. Password : * at least 6 digit with letter or number
  Re - Enter Password : *
3. Gender : Male Female *
4. Date of Birth : *
5. HKID No. : ( ) *  
6. Marital Status : Single Married *
7. Address :
*

*
HK KLN NT *
In current issue of Marie Claire's Skincare & Beauty advertisements, the product I want to try *
Brand Name :
Product Name :
8. Phone No. : *
9. Email Address :
*
10. Education : *
11. Monthly Income : *
12. Profession : *
13. Monthly Spending on the following items : *
     Skin care / Beauty :
Fashion :
Watch & Jewellery :
Mobile / Computer :
14. Are you Marie Claire' s Subscriber ? *
Yes No   
If Yes, subscribe since   Subscription No. :
15. Have you ever buy/subscribe the following magazines ? *
Elle Cosmopolitan Bazaar Jessica  
Amy Sister Pepper Cosmo Girl  
Other
16. How can you get Marie Claire ? *
Self buy Circulate by friend/company Other
17.  Privacy *

I am willing unwilling to receive any promotion materials from Marie Claire or related merchandise.
* Indicates a required information
 


關於我們 | 豁免條款 | 聯絡我們
Copyright © 2012 South China Media Limited All Rights Reserved 版權所有 不得轉載