Personal particulars
*Name (CHI) :   (ENG) :
Membership Number (if applicable): Sex: M / F
Birthday: Occupation:
*Contact Number: *E-mail:
Postal Address:
*Required field

I would like to join as
Zuni's Friends: HK$200
Zuni's Student Friends: HK$120 (Please attach student I.D. card copy)
"Zuni's Friends" Member's Benefits

Payment Method
Please select in the appropriate box(es)
Crossed Cheque: Payable to "Zuni Icosahedron". Please return this form together with the cheque by post (write down your name and contact number at the back of the cheque)
Bank Transfer: Deposit into Account No.: 015-514-68-00106-6(Bank of East Asia Ltd.). Please return this form by post, e-mail or fax together with the bank receipt (write down your name and contact number at the fax);
Credit Card: Visa Master Card
Issuing Bank:
Card Number:
Name of Cardholder:
Expiry Date:(MM/YY)
Amount Payable: HK$

Address: Room 203-4, 2/F., Cheong Tai Commercial Building, 60-66 Wing Lok Street, Sheung Wan, Hong Kong (Zuni's Friends)
Tel: 2893 8704       Fax: 2838 7527       Email:
We will call to confirm when we received the application form. If you have any queries, please contact Mr. Ho.

Terms and Condition:
- Membership will be valid for one year upon confirmation
- Information provided will be treated as strictly confidential for handling and corresponding use only. According to Personal Data (Privacy) Ordinance, you have the right to request access to and correct the personal data provided.