《FAP病友交流會》報名表
主辦機構:香港罕見疾病聯盟(HKARD)
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姓名 (中文 或 英文) *
閣下的身份為 *
參加人數(可1人報名,多人出席) *
聯絡電話 (*職員將透過短訊或致電確認) *
聯絡電郵 (如有)
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