九龍彌敦道328-342A儉德大廈2字樓
2/F,Kim Tak Building, Nos.328-342A, Nathan Rd., Kowloon.
E-mail: hklmsa@netvigator.com    Website: www.hkssa.org.hk
Tel: 2771 6180         Fax: 2770 7134

* 熱誠歡迎同業仝寅參加本會　Ｗｅｌｃｏｍｅ　ｔｏ　ｊｏｉｎ　ｕｓ *

入 會 表
Ｍeｍbership Application Form
Name in Chinese                                       Name in English                                           Sex
中文姓名:                                                英文姓名:                                                    性別:                                         
Date of Birth                                        H.K.I.D.No                                        Mobile No.
出生日期:                                          身份證號碼:                                      手機電話:                                                
Home Address
通訊住址(請用中文填寫):                                                                                                                                                                                   
                                                                                                                                                                                         
Company Name                                       Dept.                                                            Position
任職公司:                                               部門:                                                            職位:                                          
Company Address
公司地址 :                                                                                                                                                                      
Office Tel:                                                Fax                                                               Email  Add.
公司電話:                                               傳真:                                                            電郵:                                          

Applicant Signature
申請人簽名 ______________________________________
Signed Date
簽署日期:  _____________________________(dd/mm/yy)

以下由本會工作人員填寫(For Staff Only)
Join Date                              In charge                         Receipt No.                              Member No.
入會日期                             經辦人                           收據號碼                                會員證號碼                                

Please submit the form and pay HK$80 for join fee and HK$150 for annual member fee, or HK$80 join fee and HK$1,500 for permanent member fee. We accept both Cash and Cheque.
請填妥入會表, 繳交入會費80元及年費150元, 或一次過繳交永久會員會費1500元及入會費80元。本會接受現金及支票。