台灣 – 加入艾多美會員表格

表格登記
Form Register

Country *

入會方式(Agent or Consumer) *

姓名 (Name(Chinese)) *

* 外籍居留者如無中文姓名，可輸入英文. (* Foreigners may write their name in English if no Chinese name is given.)

英文姓名 (Name(English)) *

性別 *

身分證字號 (I.D. Number) *

身份證正面 (Identity Card Front) *

Click or drag a file to this area to upload.

身份證背面 (Identity Card Back) *

Click or drag a file to this area to upload.

出生年月日 (Date of Birth) *

電話號碼 (Telephone)

手機號碼 (Mobile) *

電子信箱 (E-mail address) *

郵遞區號 (Zip Code) *

縣市 (Town / City) *

詳細地址 (Address) *

Comment or Message

Who wants a side job at Atomy? Please message.

You must purchase the product within 6 months of registering as a member.
If you do not purchase the product, your membership will be cancelled.