JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Enrollment Form
常在心 (Being My Heart) 報名表格
Web-Site:
http://www.beingmyheart.com/
Email:
info@beingmyheart.com
活動報名: 直接致電 2961 4815 / 6932 6860 或 填妥下列表格網上報名
歡迎所有年滿18歲的單身人士參加本會活動！
請放心，閣下提供的一切資料絕對保密。
Sign in to Google
to save your progress.
Learn more
* Required
姓(Surname)*
請認真填寫
Your answer
名Name (活動時，別人對你的稱呼)
*
請必須填寫
Your answer
電郵地址 (e-mail address)
*
請必須填寫
Your answer
聯絡電話 (Contact no.)*
Your answer
性別 (Gender)*
男Male
女Female
Clear selection
出生日期 (Birth Date)*
MM
/
DD
年齡 (Age)*
Your answer
教育程度 (Education Level)*
Choose
Primary 小學
Secondary 中學
Post-secondary 預科
High School 大專
Bachelor degree 學士
Post-graduated, Master degree or above 碩士或以上
工作行業 (Job Type)*
Choose
Artistic / Musical / Writer
Banking / Financial Services / Real Estate
Clerical / Administrative
Construction / Craftsman
Education / Academic Research
Entertainment / Media
Hospitality / Travel
Legal Services
Manufacturing / Distributions
Medical / Health Services
Politics / Government / Military
Sales / Marketing
Technical / Science / Engineering
Transportation
Food Service
Other
職銜 (Job Position / Title)
請盡量填寫: i.e. Doctor, Architect, Flight Attendant
Your answer
宗教 (Religion)
Choose
基督教
天主教
佛教
道教
其他
總參加人數 (No. of participants)*
Choose
1
2
3
4 or above
有沒有參加過本會活動? (Have you joined our activities before?)
有Yes
沒有No
Clear selection
♥參加哪天活動?*
Premium Dating - 只歡迎尋找長期關係的尊貴級人士 $998
Speed Dating(GOLDEN Dating)逢星期六
♥Table For Ten Dinner (10人晚餐)?*
(Sat Night) Professional Table For TEN Dinner：逢星期六
♥特備活動?*
Special Events
睇波團 (會員聯誼活動，日期待定) 詳細情況，請瀏覽
http://beingmyheart.com/#soccer
Speed Dating (極速約會) 研習坊: 極速溝通致勝法 (Thu Night) 詳細情況，請瀏覽
http://beingmyheart.com/#lesson
同行朋友資料
與你一起參加活動的朋友資料，包括姓名、性別、電郵、聯絡電話、職業、學歷。
Your answer
你的配對喜好 (Your ideal partner's requirement)
（optional 選擇性填寫）
配對年齡 (Age)
由 (From) 至 (To) : e.g. 25 - 32
Your answer
配對教育程度 (Education Level)
Choose
Primary 小學
Secondary 中學
Post-secondary 預科
High School 大專
Bachelor degree 學士
Post-graduated, Master degree or above 碩士或以上
其他的配對條件要求 (Other requirement)
Your answer
對本會的意見 (Suggestion)
Your answer
如何得知本會 (How do you know us)*
Yahoo.com
Google.com
朋友介紹 (Introduced by friend(s))
雜誌 (Magazine)
報紙 (Newspaper)
Facebook.com
電郵宣傳 (E-mail)
Other:
*Anyone who sent this form is deemed to accept the Terms of Use of
http://beingmyheart.com
. If you have any enquiry, please feel free to contact us.
Submit
Clear form
Never submit passwords through Google Forms.
Forms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy