Membership no. 會員編號*Please confirm online payment amount. Alternatively, please make an ATM transfer or write out a cheque with the following information. 請確認網上繳費金額,你也可以進行自動櫃員機轉帳或郵寄支票,銀行戶口資料如下:Account holder 帳戶持有人: The Federation of Private Healthcare Centres of Hong Kong LtdBank name 銀行名稱: Bank of CommunicationsBank account number 銀行帳號: 382537102354702Mailing address for cheques (please quote the name of your clinic at the back of your cheque) 支票郵寄地址(請在支票背面註明您診所的名稱): The Federation of Private Healthcare Centres of Hong Kong, 6/F, Virtus Medical Tower, 122 Queen's Road Central, Hong KongEmail address for ATM transfer receipts (please quote the name of your clinic) 自動櫃員機轉賬收據的電郵地址(請註明您的診所名稱): [email protected] Please confirm payment amount 請確認繳費金額*HK$5000.00: includes one-off registration fee ($3000) and first-year membership dues ($2000) / 港幣五千元正;包含一次性註冊費($3000)及首年會費 ($2000) Submit 遞交表格ResetNotes 注意事項:Applicants may be asked to provide further information/details for the consideration of the Federation Council. 申請人有可能會被要求提供更多資料以供本會之委員會作審批用途。Membership fees: 會員費包括:one-time registration fee of HK$3000 per member (incl. a non-refundable application processing fee of HK$500) 一次性註冊費港幣三千元正(已包含不可退回之報名手續費港幣五百元正);annual dues, first year, HK$2000 及每年會費港幣二千元正。Applicants shall pay both sums by credit card during the online application process. 申請人必須於網上註冊時以信用卡同時繳交註冊費及首年會費。Secretariat will notify shortlisted applicants individually by email after the approval of the Federation Council. 秘書處將會與成功通過本會之委員會審批的申請人作個別聯絡。For further inquiries, please contact the Secretariat at [email protected] or +852 3893 9371. 如有查詢,請聯絡秘書處:電郵:[email protected];電話:+852 3893 9371