* Mandatory Fields
You may choose to fill in the information of your spouse and unmarried children. They can be registered as family members.
Notes on Membership and Special Offer of Clinic Services
Please read the “Notes on Membership and Special Offer of Clinic Services” before submitting this application form.
The Collection and Use of Personal Data Statement
Personal data collected by The Family Planning Association of Hong Kong (FPAHK) will be used for member identification, member application process and communication purpose. Apart from the above usage, all personal data will be kept confidential, handled strictly in accordance with applicable laws and will not be transferred to any organizations or parties.
The Use of Personal Data for Promotional Purpose
FPAHK would like to send our promotional information to you by telephone, email and mail according to the contact information you have provided (including name, telephone no., email address and correspondence address etc.).
Even if you agree to receive FPAHK promotional information now, you may change your mind in the future. Please notify respective Women’s Club of your name and email address through email, fax or mail, we will stop sending any promotional information to you.
For enquiries, please contact us at 2919-7746.
Please tick the appropriate boxes below if you agree.
