BALL ROOM MEMBERSHIP APPLICATION

Please fill in your personal information with thanks.
FULL NAME*
GENDER* MALE FEMALE
MONTH OF BIRTH*
YEAR OF BIRTH*
You may get a special birthday treat!
MOBILE*
(with WhatsApp)
EMAIL*
WECHAT
LIVING DISTRICT*
WORKING DISTRICT*
OCCUPATION (Please tick one)*
Accounting / Legal
Culture / Design
Food & Beverage
Finance / Insurance
Government
Medical
Retail
Student / Education
Transportation
Telecom / I.T.
Other:
INTEREST (Please at least tick one)*
Arts & Crafts
Food Delicacy
Game Console & Chess
Healthy Living
Music / Film Appreciation
Parenting
Photography
Reading
Sports
Travel
Please tick below if you disagree to receive any promotions in terms of emails or mobile messages.
I disagree to receive.
I understand and agree BALL ROOM to obtain the above profile.
As without your permission and consetnt, BALL ROOM does not disclose, sell or give away your personal information to any third party.
Please click SUBMIT button to complete application.