RFHK Earth Membership Registration Form

會員名稱 Username *

將於網站上顯示，可填寫筆名或藝名。只能使用英文及數字，請勿填寫中文，填寫中文將導致註冊失敗。 Will be shown on the website, Pen Names or Pseudonyms are welcome. Please use letters and numbers only, no Chinese characters, the use of Chinese will lead to failure of your submission.

中文姓名（如有） Name in Chinese (If any)

Please fill in N/A if you do not have a Chinese name. 與身份證所載相同 Same as ID Card

英文姓氏 Full Name in English (與身份證所載相同 Same as ID Card)

First Name Last Name

出生年月 Date of Birth

MM-YYYY

性別 Gender

聯絡電話 Phone No.

電郵地址 Email Address *

通訊及登入用；不建議使用Yahoo及Microsoft電郵服務如Hotmail、Outlook與Live等，因系統登入電郵常被以上電郵伺服器所阻擋，而導致帳戶須本會於後台人手處理。For Communication and Login Use; Email services from Yahoo and Microsoft (e.g. Hotmail, Outlook, Live) are not recommended, as our system emails are usually blocked by these email servers and your account confirmation would need to be handled manually at the backstage.

職業／行業 Occupation/ Industry

所屬創作單位（如樂隊、劇團等）The Creative Unit You Belong to (such as band, troupe)：

RFHK Earth Membership Registration 登記成為文藝復興大地會員

收集及使用個人私隱政策及申請人聲明Statement on the Collection and Use of Personal Data & Applicant’s Declaration