Reception

STAMPPAN ASIA SERVICE CENTRECOUNTRY & REGIONCHINESE MAINLAND Beijing Quick Repair Center15/F, Jinbao Building,Tel: +86-10-85139190No 89 Jinbao Street, Dongcheng District,Beijing 100005, ChinaShanghai Quick Repair Center2/F, YaLong International Plaza, Tel: +86-21-63737181No.500 East Jinling Road, Huangpu District,Shanghai 200021, ChinaAPPLICATION FORMCanon Professional ServicesGuangzhou Quick Repair Center11/F, FengXing Plaza,Tel: +86-20-38133281No.67 TianHeDong Road, TianHe District,GuangZhou 510620, ChinaCanon China Call CenterTel: 4006-22266615/F,Jinbao Building,No 89 Jinbao Street,Dongcheng District,Beijing 100005,ChinaTel:+86-10-8513-9999 Fax:+86-10-8513-9920TO: CPS Reception CounterPlease send application form to your local Canon Sales Company at the Service Centre addresses listed.HONGKONGTAIWANPHILIPPINESSINGAPOREMALAYSIATHAILANDINDONESIACanon HongKong Co, Ltd.-Canon Pro Solution Hub17/F, 26 Nathan Road,Tsim Sha Tsui, Kowloon, Hong Kong,S.A.RRainbow Photo & Image Co. LtdNo.20 Chiling Road,Taipei 10424, TaiwanCanon Marketing (Philippines) Inc.Marvin Plaza Building,2153 Don Chino Roces Ave. MakatiCity, Metro ManilaCanon (Singapore) Pte. Ltd1 HarbourFront Avenue, #04-01Keppel Bay Tower, Singapore 098632Tel: +852-2170-2860Fax:+852-2316-0589Tel: +886-02-2537-1940Fax:+886-02-2537-1169Tel: +63-02-812 6047Fax:+63-02-812 0067Tel: +65-6799-8888Fax:+65-6799-8882Canon Marketing ( Malaysia) Sdn.Bhd.BlockD, Peremba Square, Saujana Tel: +60-03-7844-6000Resort, Section U2, 40150 Shah Alam, Fax:+60-03-7845-0505Selangor Darul EhsanCanon Marketing (Thailand ) Co. Ltd10th Floor,Tel: +66-02-344-9999Bangkok City Tower,Fax:+66-02-344-9910179/34-35 South Sathorn Road,Bangkok, 10120DatascripPerkantoran Agung Sedayu, Block D,No.7,Harco Mangga Dua,JI. Mangga Dua Raya,Jarkata 10730Tel: +6221-626-0122

APPLICATION FORMTo avoid vague hand writing,please provide businesscard and contact address proof eg.bill copy.Please complete in English CANON CAMERA/LENS REGISTERED 1Canon Professional Services dedicatedto support top professional photographersusing Canon professionalequipments for their daily work.New Renewal Card No.Mr.Mrs.Ms.Other (Please Specify)First Name :Middle Name :Last Name :Product NameCAMERA BODYLENSSerial No.Basic qualification for membership of theCanon Professional Services scheme ?Name to appear on CPS Card: (Max. 20 characters)To be CPS member, applicant must :1. own at least 1 Canon Professional SLR body and 2 L serieslens ;2. comply with the terms and conditions of membership of theCanon Professional Services ("CPS") scheme ("CPS Membership");and3. comply with any particular requirements of Canon in thecountry/region in which you apply for CPS Membership.How do I apply for CPS Membership ?Complete and sign the application form included in this leaflet(the "Application Form") and send the completed and signedApplication Form to the Canon service centre located in yourcountry/region at the address set out in this leaflet, togetherwith the applicable documents stipulated in the Application Form.What are the benefits under the CPS Scheme ?The benefits under the CPS Scheme will vary in different regionand are subject to change by Canon. The benefits may include:- Priority in the provision of equipment maintenance and repairservices for registered Canon photographic equipment (subjectsto each region)- Promotional offers on the rates for servicing of registered Canonphotographic equipment- Access to the technical support and services of Canonrepresentatives at events that Canon from time to time selects- Provision of Canon photographic equipment on a short-termbasis in the event of loss, theft or damage to registered Canonphotographic equipment (subject to availability, payment of arental charge and other terms and conditions of Canon)- Invitations to events organized by Canon located near youWhat is the cost of CPS Membership ?CPS Membership is free now and granted for two years basis. Youwill have the option to continue or terminate your CPSMembership if Canon notifies you that it will charge you amembership fee.CPS Membership is subject to Canon's standard terms andconditions set out in this leaflet (the "Conditions") as suchConditions may be varied by Canon. The normal processing timefor applications for CPS Membership is around one month fromthe date of Canon receives your application form.Camera Usage: (Please Tick)Photo Journalism (News)Photo Journalism (Sports)Portrait Studio Wedding PhotosLaw EnforcementOther Business Type :I.D./ Passport No. :Nationality :E-mail Address :Tel No.(Mobile) :Company's Name :Tel No.(Office) :Fax No.(Office) :Contact Address :City :Province/State :Zip Code :Country/Region :FashionIndustrialMedicalACCESSORIES1 The benefits of CPS Membership will only apply to Canon professionalphotographic equipment that is registered in this section.DocumentsYour application for CPS Membership will only be considered if you enclosethe following documents:Photocopy of your ldentity Card or Passport2 passport sized photographs of yoursProof of your presence at your contact address (eg. photocopy of recentutility bill)Declaration1.I confirm that the information given in this Application Form and thedocuments supplied with this Application Form are true and complete.2.I confirm that I have read all terms and conditions contained in thisApplication Form and Canon's current terms and conditions of the CPSScheme, and I confirm my agreement to all such terms and conditions.Photo(Passport Size)DateFor Official UseApproved By Local Sales Co.Professional Card No.Approved By CANONDate of lssueRemarksApplicant's Signature