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EmailMeForm
Online Membership Application Form
Name
*
First
Last
Title :
*
Dr.
Mr.
Mrs.
Miss
Email
*
Alternate Email (if any)
Phone
Mobile
Home
Office
Correspondence Address :
Company :
Job Title:
***** Studied Courses at Warwick *****
Course studied at Warwick :
*
Year of study :
*
Warwick Student No. :
(if still available)
NEW Alumni
Email Address:
To be assigned e.g. your.name@graduate.warwick.hk
Not necessary
Types of Membership :
*
Life member (Joining fee HK$200. Annual fee exempted)
Ordinary member (Annual fee HK$150)
Interested to be Committee Member?
Yes, I do!
No, I am busy
Talk to me
Payment Method
*
Online by Credit Card
Bank In to HSBC account: 511-291742-001
Additional Remarks :
Personal Data Agreement
*
Agreed & Understood
All Personal Data hereto collected will be kept confidential and will be used in connection with WGAHK activities and membership administration. No information will be disclosed to third party unless otherwise authorized by individual members.
