報名表:12月1日《我的詩篇》放映會 Registration Form: 1 Dec Screening of《 Verses of Us》 at Good Lab
日期:2017年12月1日(五)
時間:晚上7時至10時
地點:好單位(西九龍通州街500號星匯居L1)
語言:普通話對白,中英文字幕

*必須預先報名

Date: 1 December 2017 (Fri)
Time: 7:00PM - 10:00PM
Venue: Good Lab (L1, The Sparkle, 500 Tung Chau Street, Cheung Sha Wan)
Language: In Putonghua with Chinese and English Subtitles

*Pre-registration is required

姓氏(英文正階)Family name (in English) *
Your answer
名字(英文正階)Given Name (in English): *
Your answer
姓名(中文)Name (in Chinese if applicable):
Your answer
電郵地址 Email Address *
(請提供常用電郵,以便發送參加確認信 please give us an email in frequent use)
Your answer
手提電話號碼 Mobile Number *
Your answer
年齡 Age *
職業或職位 Occupation or position *
Your answer
機構、公司或學校名稱(如屬學生,請同時填上學系名稱及年級)Organization, company or institutions (for student, please specify your field of studies and year of study): *
Your answer
你參加過MaD的活動嗎? Have you joined any MaD-related programme before? *
如果參加過MaD的活動,請註明活動名稱 Please specify if you have joined MaD's programmes before
Your answer
你從哪裏得知此活動? Where did you get to know about this programme? *
Required
你是否想透過電郵收取MaD的最新資訊? Do you want to receive MaD's latest news via email? *
留座數目 Number of reserved seat *
活動期間我們可能會拍攝或/及錄影以作記錄、報告、宣傳及推廣用途 During the programme we may take photos and video for record, production of report, promotional materials and marketing purposes *
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