Membership Application ⇽ Honorary Member

Glue Up account creation information.

Uploading an image is mandatory

Profile Photo

Please enter a first name

First Name *

If you input more than 0 characters your First Name may not display properly

Please enter a last name

Last Name *

If you input more than 0 characters your Last Name may not display properly

Please enter a valid email address
e.g. john.doe@glueup.com

Email *

If you input more than 0 characters your Email may not display properly

Password must be a minimum of 8 characters and contain at least one upper case letter, one lower case letter, one number, and one special character(!"#$%&'()*+,-./\:;?@[]^_`{|}~=).

Password *

If you input more than 0 characters your Password may not display properly

Password must be a minimum of 8 characters and contain at least one upper case letter, one lower case letter, one number, and one special character(!"#$%&'()*+,-./\:;?@[]^_`{|}~=).

Confirm password (at least 8 characters) *

If you input more than 0 characters your Confirm password (at least 8 characters) may not display properly

Please fill in your member application details.

Please enter a first name

First Name *

If you input more than 0 characters your First Name may not display properly

Please enter a last name

Last Name *

If you input more than 0 characters your Last Name may not display properly

Please enter a valid email address
e.g. john.doe@glueup.com

Email *

If you input more than 0 characters your Email may not display properly

Name (in Chinese) / 中文名

If you input more than 0 characters your Name (in Chinese) / 中文名 may not display properly

Title/头衔

Nationality / 国籍

Company

Company in Chinese / 公司名称（中文）

If you input more than 0 characters your Company in Chinese / 公司名称（中文） may not display properly

Position in the company / 公司职务

If you input more than 0 characters your Position in the company / 公司职务 may not display properly

Address in English / 地址（英文）

If you input more than 0 characters your Address in English / 地址（英文） may not display properly

Address in Chinese / 中文地址

If you input more than 0 characters your Address in Chinese / 中文地址 may not display properly

Please enter a valid phone number including country code

General Phone / 总机

If you input more than 0 characters your General Phone / 总机 may not display properly

Direct Phone / 直线

If you input more than 0 characters your Direct Phone / 直线 may not display properly

Please enter a valid email address
e.g. john.doe@glueup.com

General Email / 公司通用邮箱

If you input more than 0 characters your General Email / 公司通用邮箱 may not display properly

Direct Email / 公司个人邮箱

If you input more than 0 characters your Direct Email / 公司个人邮箱 may not display properly

Mobile / 手机

If you input more than 0 characters your Mobile / 手机 may not display properly

Website / 网址

If you input more than 0 characters your Website / 网址 may not display properly

Please enter a valid WeChat ID

Wechat ID

If you input more than 0 characters your Wechat ID may not display properly

Industry

If you input more than 0 characters your Industry may not display properly

Title/Position

If you input more than 0 characters your Title/Position may not display properly

2nd contact / assistant (in case you are unavailable) 备用联系人/助理（无法联系到您时）

If you input more than 0 characters your 2nd contact / assistant (in case you are unavailable) 备用联系人/助理（无法联系到您时） may not display properly

Family Name (2nd contact) / 姓名（备用联系人）

If you input more than 0 characters your Family Name (2nd contact) / 姓名（备用联系人） may not display properly

Given name (2nd contact) / 名（备用联系人）

If you input more than 0 characters your Given name (2nd contact) / 名（备用联系人） may not display properly

Chinese name (2nd contact) / 中文名 (备用联系人)

If you input more than 0 characters your Chinese name (2nd contact) / 中文名 (备用联系人) may not display properly

Title (2nd Contact) / 头衔 (备用联系人)

Mobile (2nd contact) / 手机（备用联系人）

If you input more than 0 characters your Mobile (2nd contact) / 手机（备用联系人） may not display properly

Please enter a valid phone number including country code

Direct Phone (2nd contact) / 直线 (备用联系人)

If you input more than 0 characters your Direct Phone (2nd contact) / 直线 (备用联系人) may not display properly

Please enter a valid email address
e.g. john.doe@glueup.com

Direct Email (2nd contact) / 公司个人邮箱 (备用联系人)

If you input more than 0 characters your Direct Email (2nd contact) / 公司个人邮箱 (备用联系人) may not display properly

Glue Up account creation information.

Please fill in your member application details.

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