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“Green Earth Society” Membership Application Form
Name: ________________________________ Sex: ____ Date of Birth: __________________
Family Member: ________________ Education:□ University □ Secondary □ Primary □ Others
Occupation:________________________ Spouse:____________________________________
Contact Number:__________________________ Mobile Number: ________________________
Fax Number: _______________ Email address: _______________________________________
Hobbies / Interests: ______________________________________________________________
Contact Address: _________________________________________________________________
□ Yes / No, I would like to receive other information by email.
□ Yes / No, I would like to apply _____ supplementary card(s).
* Remarks: Information collected for internal use only.
For Green Earth Society Use Only：
Member Since: _____________________ Membership No.：_______________________
Cash：_________ Reference No.：_______________ Processed by ：______________
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Green Earth Society Membership Benefits
1. SAVE $$$$ (FREE)
10 % off for Cash / EPS Payment & 5% off for Credit Card Payment. *Except local produce, paints and special items.
2. NEWSLETTER(FREE)
Members will receive free subscription to our newsletter.
3. SERVICES & EVENTS DISCOUNT
- WU QIN XI QI GONG / QI KUNG
10% OFF (CASH ONLY)
Wu Qin Xi Qi Gong class, 45 mins each, Individual coaching.
Offers immediate diagnosis of early stages of illness. Effective consultancy for health preserving & healing. Hundreds of patients have benefited from Master Wong’s healing worldwide.
Provides professional ecological and No/Low toxicity pest management services. Safe for the whole family including kids and pets.
- HAIR TISSUE MINERAL ANALYSIS
10% OFF*
A precise analytical test that assays the mineral composition of the hair, providing a sensitive indicator of the long-term effects of diets, environment, stress and toxic metal exposure.
Green Earth Society is not responsible for any matters in relation to the products or service provided. The relevant merchant or the individual is solely responsible for all obligations and liabilities in relation to the products or services.
I, ________________________, understand and accept the terms, conditions and benefits applied for all Green Earth Society Membership.
From now on, members of Green Earth Society can enjoy a 12-month interest-free installment plan provided by HSBC. For details, please contact our staffs at 2792 0106.
*We accept credit card payment for purchase over HK$300.
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