安達人壽FB Mini-game 資料登記
Fb 用戶名稱 /Fb user name *
稱謂 Salutation
Clear selection
身份證所示姓名 Name shown on HKID card: *
電郵地址 e-Mail address *
電話號碼 Phone No. *
郵寄地址 Postal address *
"您的未來想像 Your Imagination" (您回應fb 問題的答案 You answer to fb question) *
我明白並同意安達人壽直接取得上面填寫的個人資料,並定期收取安達人壽的最新動向及電子通訊。 I consent for the above personal data to be provided to Chubb Life for latest updates and eNewletter from Chubb Life *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy