Join (Taiwan)

registration form
(Taiwan)

* Indicates required field

姓名 Name (in English) *

英文姓名 Name (in Chinese) *

性別 Gender *

出生年月日 Date of Birth *

身分證字號 (I.D. Number) *

Please type in the correct number.
Your I.D. Number is required for registration in order to prevent multiple membership and line changes.

銀行名稱/帳號 (Bank of Account) *

戶名 (Name of Account) *

電話號碼 (Telephone) *

手機號碼 (Mobile) *

Email *

郵遞區號 (Zip Code) *

縣市 (Town / City) *

詳細地址 (Address) *

Who referred you? (Member's name and/or Member ID) *

Level of interest *

I want to use Atomy products. I want to also receive cashback or extra/residual income by using Atomy products. (This will not change the status and condition of your membership) I'm not sure yet.

How may we contact you, if we have questions about information you submit? *

Your primary language *

By clicking "Submit" you acknowledge that you are 20 years old and over and you have read and agree to Atomy’s Member Agreement, General Terms and Conditions and Privacy and Security statements.

After you submit this form, we will email you your membership ID and password.
If you don’t receive this email from us within 48 hours, please Contact Us.

Submit

registration form(Taiwan)

registration form
(Taiwan)