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。
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)*
出生日期 (Birth Date)*
MM
/
DD
年齡 (Age)*
Your answer
教育程度 (Education Level)*
工作行業 (Job Type)*
職銜 (Job Position / Title)
請盡量填寫: i.e. Doctor, Architect, Flight Attendant
Your answer
宗教 (Religion)
總參加人數 (No. of participants)*
有沒有參加過本會活動? (Have you joined our activities before?)
♥參加哪天活動?*
♥Table For Six Dinner (六人晚餐)?*
♥特備活動?*
Special Events
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)
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)*
*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.
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