Company*

Address*

Tel

Website

Company Business and China Interest

Membership category you wish to apply for*
CorporateSmall CorporateAssociate

Applicant 1

Title (Mr, Mrs, etc.)*

Name*

Position*

E-Mail*

Secretary’s name and contact

Would you like to join the Young Icebreakers (under the age of 40)?
(No extra charge)
YesNo

Would you like to join the Women's Icebreakers? (No extra charge)?
YesNo

How did you get to know us? (eg. internet, personal recommendation)*

Applicant 2 (for corporate)

Title (Mr, Mrs, etc.)*

Name*

Position*

Address if different from above

Tel

E-Mail*

Would you like to join the Young Icebreakers (under the age of 40)?
(No extra charge)
YesNo

Would you like to join the Women's Icebreakers? (No extra charge)?
YesNo

Applicant 3 (for corporate)

Title (Mr, Mrs, etc.)*

Name*

Position*

Address if different from above

Tel

E-Mail*

Would you like to join the Young Icebreakers (under the age of 40)?
(No extra charge)
YesNo

Would you like to join the Women's Icebreakers? (No extra charge)?
YesNo

The 48 Group Club
66 Prescot Street
London, E1 8NN

For further information on the 48 Group Club, apply for membership or any other general information, please contact:
admin@the48groupclub.com