EX-PATS Life Membership Application Form
1. Personal information
First Name:   Last Name:  
Chinese Name (if have):   Date of birth M/:   D/:   Y/:  
Nationality:  
Age:  7-18   18-28   28-35   35-60   60+  
Home Address:  
Telephone:  
E-mail:  
(To be used only for EX-PATS Life communications, not for publication or distribution unless authorized)
2. If applicable, please provide your company information below
Company Name(in English):  
Your Title/Position:  
Address (in English):  
Company Name (in Chinese):  
Address (in Chinese):  
Telephone:    Fax:     Website:  
Please fax your application and required documents to (8610)64385679 or e-mail it membership@expatslife.com
Thank you and welcome to EX-PATS Life.