#!/usr/local/bin/php5 Escape Magazine
*Name:
Company:
*Delivery Address:
*Telephone:  *Email:

* Required fields

Payment Enclosed:
1 year 2 years 3 years

Please make cheque payable to Spotting Media Ltd., and send completed form to:

Suite 2103, 21/F, Universal Trade Center,
No.3 Arbuthnot Road,
Central, Hong Kong

or simply email us at:
subscribe@escapemagazine.biz

of fax a completed form to +852 2523 6938


Other Information:

1. Profession:

Accounting Banking & Finance Legal Consulting Public Sector
Sales & Marketing Media & P.R. Fashion Engineering   Other:

2. Age:

Under 20 21 - 25 26- 30 31 - 40 41+

3. Gender:


4. Marital Status:


5. Nationality:

Male Female Single Married

6. Income per month (HKD):

Below 20,000 20,001 - 30,000 30,001 - 50,000 50,001 - 70,000 70,001 - 100,000 Above 100,000

7. Favourite area of interest:

Music Travel Fashion Film Entertainment
Exclusive Interviews Art Sports Reviews (dining & clubbing)
© 2007
designed by Q Solutions