HONG KONG ACADEMY OF MEDICINE

ACADEMY LOUNGE

Name of Activity: Lantern Making Class
Objective: In celebration of the Mid- Autumn Festival, the program allows your kids to tailor-made their own lanterns. Full of fun and joyful atmosphere are the must in this class.
Target Participant: Children (Aged 4-12) of HKAM Fellows
Venue: Academy Lounge
Hong Kong Academy of Medicine Jockey Club Building
99 Wong Chuk Hang Road, Aberdeen, Hong Kong
Date: September 18, 2004 (Saturday)
Time: 4:00pm to 6:00pm
Type of Lantern: Traditional Chinese style made by bamboo strips and color glass paper
Charge: HKD $80 per child
No. of students: 10 children per class
Enquiries: Ms Tung Sie Ying (Tel: 2871 8737)
Remarks: Family members and friends of fellows are welcome to join.
(class will be cancelled if registration is less than 6 participants)


HONG KONG ACADEMY OF MEDICINE

Lantern Making Class

Full Name: / Contact Tel:
College: / Contact Fax:
Car Reg. No: / Email:
Name (S) of Participating Child (Children):

(Parking space will be allocated on a first-come-first-serve basis & will be confirmed by fax or email)

Please fill in the following if you choose to pay by your HKAM Manhattan Platinum Card.

Card Account No.: / - / - / -
Card Expiry Date : / / / (mm/yy)
Cardholder Name :
Total Amount: / $80.00 / x / persons / = / $

I hereby authorize the Hong Kong Academy of Medicine to debit the stated Total Amount from the above HKAM Manhattan Platinum Card Account.

Cardholder’s Signature:

You can mail or fax this form to the Academy (Fax no: 2871 8898)

Please fill in the following if you choose to pay by cheque.

Bank:
Cheque No.:
Cheque Amount: / $80.00 / x / persons / = / $

Cheque should be made payable to “Hong Kong Academy of Medicine”

Please mail your cheque with this form

Hong Kong Academy of Medicine

99 Wong Chuk Hang Road, Aberdeen, Hong Kong