Corporate Scheme Registration Form

Internet Professional Association
Rm 623, 6/F., Kwong Loong Tai Building,
1016-1018 Tai Nan West Street,
Cheung Sha Wan, Kowloon
Tel: (852) 2778 0040
Fax: (852) 2778 0032
Web: www.iproa.org
Email: iproa@iproa.org
Corporate Scheme Registration Form
Note: 1) Please fill in all sections in block letters. 2) Please put a tick in the □.
Please attach a cheque payable to “Internet Professional Association Limited”
Class of Corporate Scheme
Subscription
□ Corporate Scheme for 1 year (Lite Version*) HK$ 500-2500
Enjoy 50% Special Discount (Join Now!)
Registration No.:
BR No.:
FOR OFFICE USE ONLY
□ Corporate Scheme for 1 year
Enjoy 50% Special Discount (HK$2,000 - Join Now!)
□ Corporate Scheme for 3 years
Enjoy 50% Special Discount (HK$4,400 - Join Now!)
HK$4,000
HK$8,800
Effective Date:
Payment:
Approved by:
□ Life Corporate Scheme
HK$88,000
*Lite Version is applicable to company with minimum 1 member to maximum 5 members.
Membership fee will be HKD 500 per head/year
Part A – Company Information (Copy of Business Registration Certificate is required)
Company Name:
Business Nature: □ IT Company □ Non-IT Company
Contact Person:
Job Title:
Department:
Email:
Tel:
Fax:
Website:
Company Address: Flat/Room Floor Building
Street
District
□Hong Kong □Kowloon □New Territories
Other Country:
Nominated Staff Information (Each nominee has to complete an Individual Membership Application Form)
For Office Use Name HKID Email Contact No
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iProA Corporate Scheme Registration Form – April 2011 Page 1 of 2

Internet Professional Association
Rm 623, 6/F., Kwong Loong Tai Building,
1016-1018 Tai Nan West Street,
Cheung Sha Wan, Kowloon
Tel: (852) 2778 0040
Fax: (852) 2778 0032
Web: www.iproa.org
Email: iproa@iproa.org
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Part B – Declaration
On behalf of my company, I confirm that all information I have provided is true, accurate and complete to the best of my knowledge and belief. I
understand that any false or misleading information will lead to invalidation of this application.
Notes relating to the Personal Data (Privacy) Ordinance of Hong Kong
1. The data collected in this application form will be used by the Internet Professional Association (“iProA") to assess the membership application.
2. To your full understanding, you authorise iProA to collect, retain and use personal information you have submitted for the following purposes :
a) Assessing and verifying the information given above for the purpose relating to this membership application;
b) Providing information, newsletter and services in connection with you, whether the information is provided by or through iProA or any
other members of iProA;
c) Marketing existing and future services and activities of iProA or any other members of iProA;
d) Enforcing any legal or other authorised rights iProA may have against the Applicant in any manner that iProA sees fit; and
e) Making such disclosure as may in iProA’s opinion be required for any of the above purposes.
Under the Personal Data (Privacy) Ordinance, you have a right to request access to and correction of your personal data in relation to your
application. If you wish to exercise the right, please write to the Secretary, Internet Professional Association, Rm 623, 6/F, Kwong Loong Tai
Building, 1016-1018 Tai Nan West Street, Cheung Sha Wan, Kowloon, Hong Kong.
Authorized Signature with
Company Chop
Date
Please note that copy of documents submitted will not be returned and that incomplete information will delay or invalidate the
application.
NOTES TO CORPORATE SCHEME REGISTRATION
1. The details of Corporate Scheme are as below:
a. Each applicant can nominate up to 10 staff (Corporate Scheme for 1 year) or 20 (Corporate Scheme for 3 years) to be iProA
members without additional charges.
b. Other staff of the applicant can enjoy 20% discount on individual membership.
c. If the nominated staff is going to resign, your company could nominate another staff to fill up the vacancy for the remaining
valid period of the scheme. Meanwhile, the resigned staff could enjoy the membership continuously by paying the annual
individual membership subscription.
d. The membership class of nominee will be examined by iProA according to normal individual membership application
procedures, which depends on his/her working experience and qualifications.
2. Any member may withdraw from the Association by giving one month's prior notice in writing to the Association.
The Association reserves the right to make any changes to this form as it deems fit without prior notice.
Please download the most updated version in www.iproa.org.
iProA Corporate Scheme Registration Form – April 2011 Page 2 of 2