Language:
English
EN
English
繁體中文
中文
Write us an email
iancheung@allergyhk.org
or
Call us directly
+852 56879433
Log In
Membership Application
香港過敏協會員
Application Details
Complete Application
香港過敏協會員
This is a Lifetime membership
This membership is for individuals only
Glue Up account creation information.
Close
Please enter a first name
First Name *
If you input more than 0 characters your First Name may not display properly
Please enter a last name
Last Name *
If you input more than 0 characters your Last Name may not display properly
Please enter a valid email address
e.g. john.doe@glueup.com
Email Address *
If you input more than 0 characters your Email Address may not display properly
・8 characters minimum
・one upper case letter
・one lower case letter
・one number
・one special character (@$!%*?&)
Password *
If you input more than 0 characters your Password may not display properly
・8 characters minimum
・one upper case letter
・one lower case letter
・one number
・one special character (@$!%*?&)
Confirm password (at least 8 characters) *
If you input more than 0 characters your Confirm password (at least 8 characters) may not display properly
Please fill in your member application details.
Wow, it seems Javascript has been disabled on your browser!
Please
click here
for the detailed instructions how to enable JavaScript in your current web browser
or try another browser like
Google Chrome
Close
Please enter a first name
First Name *
If you input more than 0 characters your First Name may not display properly
Please enter a last name
Last Name *
If you input more than 0 characters your Last Name may not display properly
Please enter a valid email address
e.g. john.doe@glueup.com
Email *
If you input more than 0 characters your Email may not display properly
性別
男
女
Please enter a valid number
出生年份
Please enter a valid number
手提電話
聯絡地址
If you input more than 0 characters your 聯絡地址 may not display properly
Chinese name
If you input more than 0 characters your Chinese name may not display properly
English Name
If you input more than 0 characters your English Name may not display properly
職業
If you input more than 0 characters your 職業 may not display properly
本身是患者/照顧者?
患者
照顧者
對過敏有興趣
醫護人員
本身是患者/照顧者?(内部导入使用)
If you input more than 0 characters your 本身是患者/照顧者?(内部导入使用) may not display properly
您患有什麽過敏症?
濕疹 Eczema
蕁麻疹(風癩) Urticaria/Hives
過敏性鼻炎 Rhinitis
哮喘 Asthma
食物過敏 Food
藥物 Drug
乳膠 Latex
眼過敏 Conjuncticitis
沒有過敏,但對過敏知識有興趣
您患有什麽過敏症?(内部导入使用)
If you input more than 0 characters your 您患有什麽過敏症?(内部导入使用) may not display properly
請問您想收取哪一個版本的會訊?
電子版
實體版
請問您想收取哪一個版本的會訊?(内部导入使用)
If you input more than 0 characters your 請問您想收取哪一個版本的會訊?(内部导入使用) may not display properly
參與本會義工活動範疇?
活動支援(協助當日活動進行、接待等)
媒體製作(活動攝影、攝錄、後製)
撰文(於Facebook、會訊等撰文)
藝術設計(單張、海報等)
文書工作(資料輸入、校對、翻譯)
舉辦興趣小組 (例如:瑜伽班,無敏煮食班...)
暫時沒有這個打算
參與本會義工活動範疇?(内部导入使用)
If you input more than 0 characters your 參與本會義工活動範疇?(内部导入使用) may not display properly
請問您想從那種方式獲取本會最新的資訊?
Whatsapp
電郵
請問您想從那種方式獲取本會最新的資訊?(内部导入使用)
If you input more than 0 characters your 請問您想從那種方式獲取本會最新的資訊?(内部导入使用) may not display properly
我同意加入HKAA成為會員,並確認我已閱讀個人資料收集聲明, 並同意個人資料供正確使用。
Yes
我同意加入HKAA成為會員(内部导入使用)
If you input more than 0 characters your 我同意加入HKAA成為會員(内部导入使用) may not display properly
我同意接收來自HKAA的有關最新信息和資訊以及HKAA和其他相關會員組織的活動信息。
yes
我同意接收來自HKAA的有關最新信息(内部导入使用)
If you input more than 0 characters your 我同意接收來自HKAA的有關最新信息(内部导入使用) may not display properly
Member ID
If you input more than 0 characters your Member ID may not display properly
身份
主席
委員
義工
導師
醫護
顧問
Consent
Close
I agree to Glue Up's
Terms of Use
and
Privacy Policy
.*
This checkbox is mandatory
Back
Apply