Membership Registration

Membership

Customer Name*		Prefix*
Company Name
Rebate Code
Telephone No.(1)*
Telephone No.(2)
Fax No.
Email Address*
Delivery Address*
	(Commercial and Industrial Districts Only)

Customer Survey
1) Through what channel you learn about iNet？*


2) Where do you normally get travel information？*


3) What kind of promotional offer do you like the most？*


4) Where will be your travel destinations in the next 12 months？(you can choose multiple)*
Japan Korea Taiwan Malaysia Europe USA Africa
Australia/New Zealand Middle East Other Asia Countries Cruise
Others (Please provide specific destinations below)

*Required fields