免費郵寄節目資料服務 – 表演場地
Free Mailing Service of Programme Information – Performance Venues

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

葵青劇院
Kwai Tsing Theatre

荃灣大會堂
Tsuen Wan Town Hall

                                  

   申請免費郵寄節目資料服務
	Apply for free mailing service of programme information
   更改個人資料/更新郵遞地址
	Update the personal particulars/change postal address
   取消免費郵寄節目資料服務
	Cancel the mailing service

請填妥下列表格寄回新界葵涌興寧路12號葵青劇院或傳真至2944 8743。
Please complete the form below and send to Kwai Tsing Theatre, 12 Hing Ning Road, Kwai Chung, N. T. 
or fax to 2944 8743.
											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 :													* 地域 :香港 / 九龍 / 新界	
District		Region  HK / KLN / NT	
		
聯絡電話 :
Contact Tel. No.										

電郵 :																									
Email Address		
	*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葵青劇院/荃灣大會堂的節目資料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.	如欲更改或查詢個人資料，請致函給副經理(新界南)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 programme information of Kwai Tsing Theatre/Tsuen Wan Town Hall 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 (NT South) Marketing & District Activities, whose address is printed on this form.