Complimentary Trial Application Form

The first 100 applicants to register will receive a complimentary trial valid until the 30th October 2009.

 

No obligation and no purchase required.

PLEASE COMPLETE ALL THE FIELDS SHOWN BELOW

The SilverBlack Card is only available to persons over 21 years of age with a valid Hong Kong address.

Stage 1 of 3

Personal Details

Title:

First Name:

Surname:

Date of Birth: (day/month/year)

Occupation:

Hong Kong Address:

Mobile Phone Number:

Home/Work Phone Number:

E-Mail Address

Please tick the box if you would like to receive the SilverBlack Card monthly newsletter containing the latest benefits and promotions

Please tick the box if you have read and agree to the SilverBlack Card Terms and Conditions HERE.

 

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