TRIAL CLASS | ALFA CLUB | Windsor Hotel Taichung

Name*

Family Name

ID No.*

(Data need correct. We need check your data when you come here.)

Birthday*

MM

DD

Gender*

Male

Female

E-mail*

Address*

Company*

Job Title

Phone

Fax

Company Address

(Via your ID, over 20 year-old adult can attend free experience one time.)

1. Do you have habit of sport?

2. How many time you do sport per week?

Once

2 to 3 times

Over 5 times

3. How many hours you do sport every time?

Half Hour

One Hour

Over Two Hours

4. Which facility you hope we must have in club? (Multi Choose)

5. What's the reason make you want to visit club? (Multi Choose)

Personal Interest

Friend Introduction

Advertising Media

I Wonder Join Club Member

Other

6. Did you ever join other club?

No

Yes, and club is

ALFA MEMBER AREA