「香港文化博物館通訊」登記
Subscription to the Hong Kong Heritage Museum Newsletter

個人INDIVIDUAL / 機構ORGANISATION *

Name: Mr/Miss/Mrs/Ms*                                                     (姓氏在前Surname first)

中文姓名 :                                                    （先生／小姐／太太／女士 *）

機構Organisation:                                           
             	  	  (此欄只需機構填寫 Only applicable for organisations )

地址Address :                                                         

電話Tel:                                 傳真Fax : __________________                                          

電子郵址E-mail:                                           
	
(*請刪去不適合者Please delete as appropriate)
表格內所提供的個人資料只作郵寄本館通訊之用。閣下若要求查閱及更正有關的資料，請致電2180 8260或傳真至2180 8222與香港文化博物館服務推廣組聯絡。
The personal data submitted in this form is considered confidential by the museum and will only be used for the purpose of mailing the Hong Kong Heritage Museum Newsletter. For access to or correction of personal data after submitting the form, please contact the Extension Service Team of the museum by phone on 2180 8260 or by fax on 2180 8222.