Contact information

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Contact information

Name *

中文姓名 Chinese Name

性别 Gender

男Male

女 Female

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出生年 Year of Birth

电邮Email

联络号码Phone number *

有意选择的环保葬种类(可选1个以上） Preferred types of eco-friendly burial (you may choose more than one) *

植存 - Tree pod burial / Burial with planting

树葬 Tree Burial

花葬 Flower burial

撒葬 Scattering ashes burial

海葬 Sea burial

其他 Other

Required

其它Remark

你有兴趣成为我们的义工吗？Do you interested to become a Volunteer? *

Yes

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