Application Form for Name Cards

Applicants shall be fully responsible for the accuracy and completeness of all the personal information supplied for the name card printing purpose. Hong Kong Mediation and Arbitration Centre shall NOT be responsible for any errors, omissions or inaccuracy in printing.

Full Name (English) *

*English name shall be restricted to 20 alphabets including punctuation and spacing

Chinese Name

Phone *

Email *

HKMAAC Membership Number *

Membership Status

Accredited General Mediator

Accredited Family Mediator

Arbitrator

Member

Academic Qualification(s) - English Version

Academic Qualification(s) - Chinese Version

Professional Qualification(s) - English Version

Professional Qualification(s) - Chinese Version

HKMAAC Name Card - Number of Pieces to be ordered *

(Per 100 pieces)

Payment Amount for Name Card Order (Auto calcuated by system)

Please note that the name card printing and administration fees are HK$280/ 100 pieces.

Payment Methods for Name Card Order Form

Hang Seng Bank or FPS

Cheque (By Post)

For Hang Send Bank or FPS:

Bank Name: Hang Seng Bank

Bank Account No. : 787-288018-001

Account Name: Hong Kong Mediation and Arbitration Centre Limited

For Cheque (Please note that you are still required to submit this form first):

Please send a crossed cheque payable to “Hong Kong Mediation and Arbitration Centre Limited,” together with your name and member ID, to:

Hong Kong Mediation and Arbitration Centre (Admin. Office), Unit 6, 9/F, LT Tower, No. 31 Chong Yip Street, Kwun Tong, Hong Kong.

(Please write your full name in English, your contact telephone number and your member ID on the back of the cheque for verification.)

Upload bank in slip (For Hang Seng Bank or FPS)

Support PDF / PNG / JPG format only. (Max file size <10mb)

Payment Date (For Hang Seng Bank or FPS)

Please note that the name card printing and administration fees are HK$280/ 100 pieces.

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.

Terms and Conditions for Application

All the Accredited General Mediators, Accredited Family Mediators, Arbitrators, Members of Editorial Board, Chairperson/Committee Members of all committees shall be eligible for name card application.

Please note that the name card printing and administration fees are HK$280/ 100 pieces.

Applicants are fully responsible for proof-read and ensure the accuracy and completeness of the provided information upon receipt of printed name cards.

All the designs, logos, and contact information on the name cards (including correspondence address, telephone number, fax number, e-mail address and website) are NOT subject to any modifications which will be strictly standardized according to the policy of HKMAAC.

For verification purposes, please enclose PHOTOCOPIES of all the academic and professional qualification certificates as provided herein above. Applicants shall be responsible for the validity and accuracy of any qualifications intended to quote. HKMAAC has the final discretion on any content to be printed in the name cards.

Subject to the services of external vendors, it usually takes about 20 working days for the printing process.

All members are obligated to use the name cards provided by HKMAAC. In no circumstances should any members design, print, reprint or create own name cards.

For subsequent order(s), please enclose PHOTOCOPIES of all the academic and professional qualification certificates only if there are any amendments.

Name cards shall only be valid for utilization while members maintain valid membership with HKMAAC. Upon demand of HKMAAC or termination of HKMAAC membership, members should not continue to distribute any name cards. No refund will be allowed for any unused name cards.

Please send the completed application together with the total fees in the form of crossed cheque made payable to “Hong Kong Mediation and Arbitration Centre Limited” to Hong Kong Mediation and Arbitration Centre (Admin. Office) , Unit 906 , 9/F, LT Tower, No. 31 Chong Yip Street, Kwun Tong, Hong Kong.

Declaration

I hereby declare that all the information provided by me is true, accurate and complete. I understand that any incorrect or incomplete information may constitute professional misconduct. I have also read, understood and accept all the notes and information as provided under “Terms and Conditions for Application” in this form.