URBAN HOUSE Membership Form
Welcome to visit URBAN HOUSE!

We are a Members’ Club for Entrepreneur Community to Build a Network in Urban Area.
URBAN HOUSE provides compound area and services for startups and entrepreneurs. URBAN HOUSE located in the city center including the office, multi-function room, shared area, lounge, coffee bar, and dining. Our areas are quiet, connected space to relax and work in.

Please fill in the blanks below to enjoy our membership privileges.
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Name *
Company Name
Company Address
Occupation *
Male or Female *
Age Group *
Contact Number *
Referral (If have)
What is your business? *
Where did you learn about URBAN HOUSE? *
Which service you are interested in? *
Will you join our room rental referrals program? *
10% Commission of 1 Month Rental (e.g. $5000 rental fee get $500)
Do you interest to join our workshop/activities? *
E-marketing Workshop, Funding Application Seminar, Wine Tasting Events, DIY activities etc.
Do you interest to join our networking program? *
If yes, what kind of networks you are looking for?
Please read the terms and conditions then tick the box(es) below to accept we can collect your personal data. Link: https://bit.ly/2MuAkNV *
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