RENEW MEMBERSHIP FORM

Membership Application: *	----Renewal
Membership No.
Name (English) (The name should be identical to that appeared on the identity document) (To be completed in BLOCK letters) *
Name (Chinese)
First 4 Characters of Identity Document No.(e.g. A123 for A123456(7)) *
Telephone No. (Mobile) *
Email address *
Name of Company
Occupation
Position
Office Address
Telephone No. (Office)
Fax No.
Residential/Corresponding Address
Telephone No. (Residential)
Type of membership *	----1-year Ordinary membership of ISI - HK$505-year Ordinary membership of ISI - HK$200Life membership of ISI - HKD 500
Attachment *
I confirm that the information given above is true and complete and I understand that the information will be kept in strict confidence and used only for administration and communication proposes by the Institute of Systematic Innovation, Hong Kong. *	Yes  No