Please complete in block capitals and return to:
Executive Secretary
Friends of the Hong Kong Museum of Art
Basement, Hong Kong Museum of Art
10 Salisbury Road
Tsim Sha Tsui
Kowloon
Telephone: 2734 2196
Fax: 2367 5138
Section I - Applicant's Information
Name in English (Surname first)
Name in Chinese
Gender
Male
Female
HKID Card No./Password No.
*Spouse's Name in English
*Spouse Name in Chinese
HKID Card No./Password No.
*To be completed only by applicants for Married Couple membership of Ordinary members, Life members or patrons.
Correspondence Address
Home Telephone No.
Office Telephone No.
Mobile Telephone No.
Fax No.
Email Address
Type of membership:
Ordinary
Single HK$300p.a.
Married HK$500p.a
Young (Age below 21 or full time student) HK$75p.a
Life member :
Single HK$10,000
Married HK$10,000
Corporate Member
HK$ 5,000p.a.
( Nomination of up to three members from senior management )
Patron :
Single HK$50,000
Married HK$50,000
Section II - Applicant's Comments
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