中國鑛冶工程學會

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

中國鑛冶工程學會

個人會籍資料更新確認表

姓名 Name *

出生年月日(西元) Year born *

任職機構與部門 Organization and department

職稱 Title

機構地址 Office address

辦公室電話 Office phone number

住家地址 Home address

住家電話 Home phone number

傳真 Fax number

手機 Mobile phone number *

電子郵件 E-mail address *

是否願意收到鑛冶季刊？ Would you like to receive Mining and Metallurgy Quarterly in paper form by mailing to office or home address? *

否，由線上閱讀即可，不須寄送。No. I choose to read it on internet and do not wish to receive the journal by mail.

是，請寄到公司地址。Yes, please send the journal to my office address.

是，請寄到住家地址。Yes, please send the journal to my home address.

Other:

以上資料可於線上更新，或以電子郵件回傳到 cimme02@gmail.com，或傳真 (02) 2397-5377。

聯絡人：中國鑛冶工程學會秘書陳怡婷小姐，電話：(02)2391-4427 (爰依據個資法規定，中國鑛冶工程學會僅為執行本會業務蒐集、處理、利用您所提供之個人資料，以進行會員之聯繫與相關業務；本會不將您的個人資料，提供本會會務以外用途。)

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report