Business Information Industry Association Asia Pacific – Middle East Limited
Suite 4114, Hong Kong Plaza, 188 Connaught Road West, Hong Kong. Telephone: +852 2525 6120 Fax: +852 2525 6171;
E-mail: [email protected] Office: Unit B, 8th Floor, Jonsim Place, 228 Queen’s Road East, Hong Kong.



Company Name:

Principal Lines of
Business:

Street Address:

City:

Province:

Zip:

Country:

Telephone:

Fax:

URL:

Annual Consolidated
Revenues (US$):

Type of Membership (Check One):

Full Membership
with Voting Privileges:

Associate Membership
(Without Voting Privileges):

Principal Contact:

First Name:

Surname:

Position:

Telephone Number:

Email Address: