• Member Information

• Member ID :*
  Password :*
  Re-Type password :*
  Salutation :*	Please select Mr. Mrs. Miss. Professor Dr. Ms
  First Name :*
  Family Name :*
  Date of Birth :*
  NRIC number :*
  Customer Type :*	Enduser Dealer
  Referral Type :	Please select Dealer Member Sales person
  Referral ID :
  Registration Channel :*	Please select Box Insert Customer Service Dealer / Supplier Direct Marketing Event / Road-show Referral (Member / Double A Staff) Sales Team TV / Print Advertising Web Advertising
  Channel Promotion :
  How did you come to know of DAPC? :*	Please select Box Insert Direct mail Display in Modern Trade Double A Copy Centre Double A Stationery Display Event / Road-show Internal Usage Magazine Advertising Radio Advertising Referral by friends TV Advertising Website Advertising Well-known & Famous Brand Other

• Company Information

• Company Name:*
  Designation:*
  Company Industry:*	Please select Advertising / Marketing / PR Agriculture / Chemicals / Forestry Automotive Computers / Electronics Construction / Real Estate Consumer Goods Consulting Business / Research Education (including Students) Energy / Mining Entertainment Financial / Insurance Government / Military / Public Service Hospitality / Recreation Information Technology Legal / Law Firm Logistic Shipping Media / Publishing Medical / Health Services Non-Profit Organizing / Embassy Pharmaceuticals Production / Manufacturing Retail Services Telecommunications / Networking Trading Travel / Transportation Others (Please Specify)
  Number of Branches:*
  Company Type:*	Please select Government Public Private Other
  Company Address:*
  Company Post Code:*
  Company Country:	Singapore
  Company Phone Number:*
  Phone Extension:
  Company Fax Number:*
  Fax Extension:
  Company Email (activation email will be sent to this email address):*

• More Information

• Residential Address:
  Postal Code :
  Country:	Singapore
  Residential Phone Number:
  Mobile Phone Number:*
  Personal Email Address:
  On average, how many reams of paper are used by your company in a month?*
  Please select Less than 10 Reams 11 - 30 Reams 31 - 50 Reams 51 - 100 Reams 101 - 300 Reams More than 300 Reams
  On average, how often do you purchase copy paper?*
  Please select Once a week or more Once fortnightly (2 weeks) Once per 3 weeks Once per 4 - 6 weeks Once Monthly Once Bi-Monthly (2 months) Once per 3 months Once per 4 - 6 months Once per 6 months or above
  On average, how many reams of paper do you acquire during any purchase of copy paper?*
  Please select Less than 10 Reams 11 - 30 Reams 31 - 50 Reams 51 - 100 Reams 101 - 300 Reams More than 300 Reams
  What are the factors considered when purchasing copy paper for your company?*
  Quality	No Jam	Price
  Widely Avialable	Smoothness of paper	Whiteness
  Brightness	Confidence in Performance	Will not jam copier/printer
  Helps your business run smoothly	Good value for money	Right Thickness
  Brand Recognition	Good Reputation	Environmental Friendly
  Terms of Credit	Promotions
  Others(Please State) :
  Besides Double A, what other brands does your company use?

• Confirmation

• I wish opt in to receive communications for matters related to Double A Rewards Programme through the following channels:
  Email to my Business Email
  Direct Mail to my Business Address
  SMS to my Mobile
  Please Review the Terms and Conditions governing the program.
  The information entered herein must match with the information provided in the Proof of Purchase.
  Terms & Conditions
  I agree Terms and Conditions