Personal Profile Details (*Required Fields)
E-mail Address / Login Name* :
Password* :
Confirm Password* :
Title* : Mr Ms Mrs
Family Name* :
Last Name* :
Nickname :
ID card no.(A1234xxx)* :
Gender* : M F
Address* :
Contact Telephone* :
Home :
Mobile :
Reference email :
Monthly Personal Income* : < HK$10,000

HK$10,001 – HK$20,000

HK$20,001 – HK$30,000

HK$30,001 – HK$40,000

>HK$40,000
Date of Birth* : Year of Birth :  - Month of Birth :  - Day of Birth :
Occupation :
Academic Qualification : Postgraduate or above
University / College
Diploma / Certificiate
Secondary School / High School
Primary
Favorites :
Prioritize most favorite home video format (1=most favorite, 3=least favorite)
VCD
DVD
Blu-ray disc
Movie preference (can select more than one):
Action
Comedy
Drama
Romance
Family
Sci-Fi
Classic
Horror / Thriller
Documentary
Natural History
Music / Performance
Children
TV Boxset
Special Interest, please specify:
All of the above
Which of the following AV website(s) have you visited in the past 1 month? (Can select more than one)
www.avbuzz.com
http://forum.tower3a.com/
www.discuss.com.hk
www.uwants.com.hk
http://www.av-forums.net/plus/
http://www.dchome.net/forumdisplay.php?fid=142
All of the above
Others, please specify:
Which of the following gifts do you like most?
Free Movie Ticket
Disc Discount Coupon
Special Screening Ticket
Limited Edition Movie Premium
Others, please specify:
I am interested in below activities: (Can select):
Forum
Children Corner
All of the above
Email Subscription* :
Deltamac latest e-News/ Promotional offers
Deltamac Loyalty Program Update
According to the Personal Data (Privacy) Ordinance, personal data held by us will be kept confidential. The information collected about you by means of this form will be used by Deltamac for marketing and promotional activities only. Please tick the box if you do not want to receive any information from Deltamac (HK) Co., Ltd
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