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香港助產士會 第五十七屆會員周年大會暨學術會議及聚餐 報名表
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Email
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Your email
活動詳情
(1) 英文姓名 Name in English (e.g. WONG Mei Lai)
*
Your answer
(2) 中文姓名 Name in Chinese
*
Your answer
(3) 聯絡電話號碼 Contact Tel. No.
*
Your answer
(4) 工作醫院 Hospital / 機構 Employing Organization / 其他 Others
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Your answer
(5) 所屬部門 Department
Your answer
(6) 你是否註冊助產士 Registered Midwife?
*
是
否
(7) 是否會員 Membership
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是
否
(8) 會員編號 Membership No. (如適用)
Your answer
請選擇:
會員 每位 港幣300元 (講座)
會員 每位 港幣800元 (講座+聚餐)
非會員 每位 港幣400元 (講座)
非會員 每位 港幣1000元 (講座+聚餐)
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