New Life Member - The University of Hong Kong Museum Society

By clicking this checkbox, I/we hereby confirm by way of positive response that I/we have accessed, opened and read the complete Terms and Conditions, Personal Information Collection Statement and Privacy Statement of your Society on the website http://www.hkums.com/terms-and-conditions/ as linked to this Application Form and which I/we have read and fully understand and that I/we hereby confirm agreement to be bound by and acknowledge all of them and all or any amendments thereto after the date of this document.

I agree to receive electronic communications regarding HKUMS news and activities.

Submission Mode Online as follows:

* Indicates required field

Title*

Family Name*

Given Name(s)*

Name of Spouse / joint member (as applicable)

Address*

Street Address Country

Tel*

Email*

Mobile

Fax

Special Interest

Profession

Life Memberships

A reference from a current member in good standing is required.

Refer by*

#Dual for two members with one mailing address; Joint Life for spouse only.

Title

Gifted by

Address

Street Address Country

Tel

Email