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「生命自覺 面對逆境」課程報名表
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* Indicates required question
Email
*
Your email
稱謂 Title
*
女士 Ms.
小姐 Miss
先生Mr.
姓名 Name (英文)
*
Your answer
姓名 Name (中文)
*
Your answer
機構 Organization
Your answer
職位 Position
Your answer
地址 Address
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Your answer
聯絡電話 Tel. No.
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Your answer
收費 Fee
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$ 3,000 ( 21/9/2019前報名或過去曾報讀本機構所舉行的focusing 課程)
$3,300 (正價, 21/9/2019後報名)
你是否正接受心理治療或輔導治療？
*
是
否
緊急聯絡人姓名
*
Your answer
緊急聯絡人電話
*
Your answer
支票號碼 Cheque No.
Your answer
所屬銀行 Bank
Your answer
是否願意接收本會課程資訊
是
否
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報名方法及細則 Enrollment Methods and Conditions：
支票報名：請填妥報名表，連同劃線支票【抬頭：香港心理衞生會】，寄回「九龍彌敦道337-339號金滿樓9樓F室」。請於支票背面寫上申請人姓名及電話。
出席者將獲發出席證書。
成功申請者將會以電郵確認，收據將於課程當天派發。
除課程滿額、取消、改期等情況，已繳費用恕不退還。
如八號颱風訊號或黑色暴雨警告訊號懸掛，課程將會取消或延期，詳情容後通知。
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