Only VIP members will obtain premiums

Irregularly scheduled attend to the couses of lectures by various kinds of experts, consultation of group experts, advisory of experts

Regular intervals to hold various kinds of activities, including travels, parties and religious activities

Obtain the fineness birthday gift when your birthday coming

*Full name：	*Sex： male female
*Age： below 20 20-30 30-40 up 40
*Native place：
*Birthday：	ID number:：
Company：	Department：
Position：	Fax：
*resident tel：	*mobile：
*E-mail： (for activating member’s account)
*Occupation：
*Post mail address： Post mail address: (for your reception of the relative information and news, please write correctly)
*Post code：	QQ\MSN：
I am willing to take part in the investigation activities of NanYang Tumour Hospital in order to improve her service
I am willing to receive the publicity material and activities news from NanYang Tumour Hospital no matter what kinds of channels
*　must filling items

Mumber Declare
　I have readed and agreed to comply with 《Guangzhou NanYang Tumour Hospital Anticancer Club Member Rules》. I assure that the information above is true.

备注：
1. The right of final explaination about Anticancer Club is belong to GuangZhou NanYang Tumour Hospital;
2. The copy is available for this form, please fax it with your namecard to Internet Marketing Department, fax No. 0086-020-8612 3742
3. Please go to web site: www.nanyangtumour.com – Anticancer Club for detail or just call us 0086-020-86122406 ext.899

Links|Copyright statement|Law decaration|Website map|Contact us

TEL：+86-4006-280-199 +86-20-86122406 +86-20-86120372

Add：No.292, Jichang Road,Baiyun District,Guangzhou City, GuangDong, P.R. CHINA Post Code: 510405 Copyright by GUANGZHOU NANYANG TUMOUR HOSPITAL, Yue ICP BEI No.05065290