屯門大會堂及元朗劇院
免費郵寄每月節目表服務申請表
Application Form for Free Mailing Service of Composite Monthly Event Calendar of
Tuen Mun Town Hall and Yuen Long Theatre

請在適當位置加「」  Please put a “” in an appropriate place

□	申請免費郵寄每月節目表服務
	Apply for free mailing service of the composite monthly event calendar
□	更新個人資料/郵遞地址/電郵地址 (請註明更改前及更改後的資料)
	Update personal particulars/ postal address/ email address (Please specify information before and after the update)
□	取消免費郵寄每月節目表服務
	Cancel the free mailing service of the composite monthly event calendar

請填妥表格寄回：新界屯門屯喜路三號屯門大會堂，表演場地辦事處(新界西)市場推廣及地區活動部，或傳真至2451 6335或電郵tmth@lcsd.gov.hk。
Please send the completed form to: Marketing and District Activities Unit of Performance Venues Office (NT West) at Tuen Mun Town Hall, 3 Tuen Hi Road, Tuen Mun, N.T. or fax to 2451 6335 or email to tmth@lcsd.gov.hk. 

	Ref. No. :                   (For office use only)	
	
姓名Name：
																									
	英文English (姓氏在前Surname first)
	
							 * 先生/太太/女士/小姐 Mr./Mrs./Ms./Miss	
	中文Chinese		
			
地址/
新地址 :
Address /
New Address																									

		

地區District :
															* 地域：香港 / 九龍 / 新界	
		Region:  HK / KLN / NT	
		
聯絡電話 :
Contact Tel. No.	852 - 										

電郵Email :																									
		
	*請刪去不適用者Please delete as appropriate

個人資料(私隱)收集聲明

1.	你所提供的資料將會用作郵寄屯門大會堂及元朗劇院的每月節目表或其他有助市場推廣的用途。
2.	本署可能會將部份資料給予其他政府部門以作上述用途。
3.	除個人資料(私隱)條例所訂明的豁免外，根據同一條例第18及22條及附表1第6項原則，你有權要求查閱及更改本表格內所載的個人資料。
4.	如欲查閱及更改個人資料，請致函給副經理(新界西)市場推廣及地區活動，其地址載於本表格上。

Notification of Personal Data Collection

	
1.	The information provided by you will be used for mailing of the monthly event calendar of Tuen Mun Town Hall and Yuen Long Theatre and for other related marketing purposes.
2.	The Department may disclose some of your information to other Government departments for the purposes mentioned above.
3.	Subject to exemptions under the Personal Data (Privacy) Ordinance, and in accordance with Section 18 and 22 and Principle 6 of Schedule 1 to the Ordinance, you have a right of access and correction of the personal data provided in this form.
4.	Request for personal data access and correction should be addressed to Assistant Manager (NTW) Marketing and District Activities, whose address is printed on this form.