社群服務(網上)講座登記 Community Service Online Workshop Registration
Please fill out this form and click submit.
請填寫此表格, 然後點擊提交 "submit"
Name
*
Email
*
This address will receive a confirmation email
Frequently used telephone Number 常用電話號碼
*
Do you need translation to Mandarin 是否需要翻譯成普通話?
*
Please select one option.
Yes 需要
No 不需要
Are you a member of NYCBC Community Services 是否北約社群服務會員?
*
Please select one option.
Yes 是
No 否
Attending NYCBC 有否參加北約聚會?
*
Please select one option.
Yes 有
No 沒有
Referral Source 從何處得知本講座服務?
*
Please select one option.
Church 教會
Friends/Relatives 親友
Yee Hong Centre 頤康服務中心
Media 傳媒
Submit
Description
Please fill out this form and click submit.
請填寫此表格, 然後點擊提交 "submit"
×
Please Fix the Following