HKDPAA 香港舞蹈演藝人協會 - 「索取會員卡」

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請正確填寫以下資料，本會將於收到表格後14日內以郵件方式寄出。謝謝！

HKDPAA Application/Replacement of member card

Please complete the form below and we will send the member card by mail within 14 days upon receiving the form. Thank you!

會員英文全名 (Member's English Full Name) *

會員電話號碼 (Mobile No.) *

索取會員卡選項 (Please choose an option) *

本人從沒有領取過會員卡

本人之會員卡已遺失或損毀，並同意支付HK$50行政費用補領新卡

I never received my member card

My member card has been lost or damaged, and I agree to pay an administrative fee of HK$50 for a replacement card

Other:

請把會員卡郵寄至以下地址：(Mailing Address) *

我確認以上資料皆為正確 (I confirm the above information is correct) *

是 Yes

※ 根據個人資料(私隱)條例（第486章），閣下所提供的個人資料將作為是次會員卡申請及日後協會人員聯絡之用，並絕對保密。

※ According to the Personal Data (Privacy) Ordinance (Cap. 486), the personal data provided by you will be used for this member card application/ replacement and future contact with our staff, and will be kept strictly confidential.

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