CIMG : CIMG Application form

Oxiana (China) Limited

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Oxiana (China) Limited

Oxiana (China) Limited

CIMG Application form

1. Membership Type and Fees

Category	Fees	Tick One
Voting Member	RMB 10100
Service Member	RMB 5050

2. Company Information

2.1 COMPANY REPRESENTATIVE (please note that all correspondence will be sent to this person)

Company Name:
Business Address:
Postcode:
Business Telephone:
Business Fax:
E-mail:
Website:
Year established in China :
Company location(s) in China:

Surname:
First Name:
Mr. / Ms. / Dr. Other:
Citizenship:
Position:
Direct Telephone:
Mobile:
Email:
Second Contact:
Surname:
First Name:
Mr. / Ms. / Dr. Other:
Citizenship:
Position:
Direct Telephone:
Mobile:
Email:

3. BUSINESS DESCRIPTION (Please give a description of your company for inclusion in the CIMG Membership Database – MAX 50 words)

English:

Chinese:

4. Company Logo (Please provide a company logo in graphical form e.g. .jpg, .gif or .bmp)

Oxiana (China) Limited

Oxiana (China) Limited

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Oxiana (China) Limited

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