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列治文基督教頌恩堂 2021 會友登記
RPGMBC 2021 Members Registration
請填上英文全名，聯絡電話及電郵。
Please provide your full English name, contact phone number & email address.
家人可共用同一電話/電郵。
Same phone number / email address can be listed for multiple family members.
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* Indicates required question
Email
*
Your email
姓名 Member Name (英文全名 Full English Name e.g. John Smith)
*
Your answer
最佳聯絡電話 Preferred Contact Phone Number
*
Your answer
加入本會年份 Membership since (Year)
Your answer
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