Apply Membership

Thank you for your interests to MSD China. Please leave your information here and we will reach out with the membership proposal very soon. Or you may contact us directly at info@msdchina.org.

The information contained in this application form is strictly confidential and won’t be communicated to any person other than those involved in the administration of the MSD China.

Corporate Name *

Parent Company Name(If applicable)

Corporation Address

Street *

City *

State *

Country *

Zip *

Mailing Address (If different)

Street

City

State

Country

Zip

Telephone *

Fax

Website *

Email *

Type of Business Legal Structure(please check) *

ꀐ ꀉ

Corporation

ꀐ ꀉ

LLC

ꀐ ꀉ

LLP

ꀐ ꀉ

General Partership

ꀐ ꀉ

Sole Proprietorship

必填字段

Please give a brief introduction of your company *

Does your corporation directly or indirectly buy raw materials, products or services from ethnic minority individuals, households, or other sort of suppliers? Has your corporation already established or been committed to set up supplier diversity program? Please describe below. *

PAYMENT REFERENCE (Once you decided to join us, please pay membership due within 45 days) *

ꀐ ꀉ

Remittance through bank (US $ or RMB￥)

ꀐ ꀉ

Pay by credit card (Visa/MasterCard/American Express) through PayPal (US $)

必填字段

Applicant information

Applicant

Name *

Gender *

Position *

Department Name *

Cell *

E-mail *

Office Phone

Office Fax

Other Contact Person (if applicable)

Name

Gender

Position

Department Name

Cell

E-mail

Office Phone

Office Fax

Supervisor

Name *

Gender *

Position *

Department Name *

Cell

E-mail *

Office Phone

Office Fax

Statement:

I have completed and submitted the Corporate Membership Application Form as requested by MSD China and hereby certify that all information contained herein are true and correct and accurate to the best of my knowledge and belief.

Hello, welcome to MSD China!

Corporate Member Application