姓名: Name:		性別: Sex:
職業: Occupation:		聯絡電話: Contact No.:
電郵: Email:		年齡範圍: Age:	To
通訊地址: Mailing Address:
對以下產品感興趣： Interest in following items:
天然、有機食品 Natural & Organic Foods
濾水器、空氣機、吸塵器 Water Filters, Air Sterilizer & Vacuum with HEPA filter
天然、無毒家居用品 Natural & Non-toxic Household products
抗敏感系列 Allergy free products
健康、無毒裝修 Healthy Renovations
天然護膚產品 Natural Beauty Products
其他Others :
I wish to become member of “Home of DR Rhino Ltd.” and in the event of my being accepted, I agree to abide by the Rules, Regulations and Policy of the “Home of DR Rhino Ltd.” as well as the terms and conditions as regards to the membership I apply for. 本人欲成為“犀牛之家有限公司”會員，並接受及同意遵守的 貴公司的規則，規章和政策的“犀牛議員之家有限公司”，以及條款和條件的問候會員本人申請。