姓名 Name	性別 Gender 女 F　男 M
電話號碼 Phone no.
電郵地址 Email address
選擇取貨店鋪 Select Pickup Shop	請選擇 / Please Select 中環鑽石展銷中心 / Diamond Center, Central 旺角MOKO(新世紀廣場) / MOKO, Mongkok 荷李活商業中心 / Hollywood Plaza, Mongkok 紅磡富高鑽石展銷中心 / Focal Industrial Centre, Hung Hom 將軍澳東港城 / East Point City, Tseung Kwan O 新界上水智昌路3號 / 3 Chi Cheong Road, Sheung Shui 荃灣大鴻輝中心 / Tai Hung Fai Centre, Tsuen Wan 元朗形點 / YOHO MALL 屯門時代廣場南翼 / South Wing of Trend Plaza, Tuen Mun
語言 Language	中文 Chinese　英文 English
件數 Quantity	1 2 3 4 5 6 7 8 9 10
本人已閱讀並同意私隱政策及優惠條款及細則。 I hereby agree that I have read and will abide by the privacy policy and the terms & conditions of the offer. 本人願意日後繼續收取MY JEWELRY會員之產品資料及宣傳資訊。(SMS / E-mail / MMS / Whatsapp / WeChat 或其他) I agree to receive the promotional advertising and materials from My Jewelry in the near future. (SMS / E-mail / MMS / Whatsapp / WeChat etc.) (如選擇拒絕接收，本人同時將不會收到貴公司的任何禮品、折扣及其他優惠。) (If refuse to receive it, I will not receive any of the gifts, discount and other offers from My Jewelry at the same time)