WTIA Membership Application Form

WTIA Membership Application Form
Membership Type *

Local Platinum Corporate Member Local Corporate Member Start-up Company Member (1st year only)* Overseas Corporate Member
* Companies that have been incorporated/established, in or outside of Hong Kong, beyond 2 years will not be eligible for start-ups membership.
Programme *
Starting Year of the Incubation Programme *
Basic Company Information
Company Name (in English) *
Company Name (in Chinese, if applicable)
Company Website *
Company Telephone Number *
Company Fax Number *
Company Address *
Business Registration Number *
Please upload Business Registration documentation (Required Format: PDF/JPG/PNG) *
Primary Representative (Must be Director grade or above – this is REQUIRED for voting purposes)
Title *
Name *

First Name Last Name
Position *
Direct Line *
Mobile Phone *
E-mail Address *
Secondary Representative
Title *
Name *

First Name Last Name
Position *
Direct Line *
Mobile Phone *
E-mail Address *
Contact Person
Title *
Name *

First Name Last Name
Position *
Direct Line *
Mobile Phone *
E-mail Address *
Company Details
Company Description (150 words) *
Social Media Channel
Facebook
Linkedin
Twitter
Should be Empty: