/ Association of Hong Kong Operating Room Nurses Limited
(Formerly Hong Kong Operating Theatre & Sterile Supply Nurses Association / Association of Hong Kong Operating Room Nurses)
Correspondence Address: PO Box 2358, General Post Office, Hong Kong.
Fax No: 2648 3206
______

Application for New Membership (April 2017- March 2018)

  Payment method: Crossed cheque payable to the Association of Hong Kong Operating Room Nurses. Cash payment is not accepted.

  Please mail this form and cheque to P O Box 2358, General Post Office, Hong Kong directly, or through the Liaison Member of your hospital / organization.

Name in English (Block Letters)
Mr./ Ms./ Mrs. / Name in Chinese
Hospital / Organization/ Education institution:
Address:
Department:
Post / Rank: / Office Tel:
Office Fax:
Home Tel:
Mobile Tel:
E-mail address:
Correspondence Address:
Apply for (Pas appropriate)
□ Ordinary Member / Registered / Enrolled nurses registered in Hong Kong / Admission Fee $100
Annual Subscription $100
□ Associated Member / Non-nursing, but work in Operating Room or allied services / No Admission Fee
Annual Subscription $100
□ Associated non-local Member / Work in Operating Room or allied services outside Hong Kong / No Admission Fee
Annual Subscription $100
□ Associated student Member / Undergraduate of a local University or; studying in a nursing training programme a local hospital or institute in Hong Kong / No Admission Fee
Annual Subscription $100
□ Retired Member / Ordinary and Associated Member upon Retirement / No Admission Fee
Annual Subscription $100
Amount: HK$______Bank: ______Cheque No: ______
Signature of Applicant: ______Date: ______
For Office Use:
Type of Membership: OM /AM /ANM / ASM / RM Membership No: ______Date: ______

Membership Renewal Form (April 2017 - March 2018)

  Annual Subscription for renewal of membership (all types – ordinary / associated / retired): $100

  Please attach membership numbers and names for renewal.

  Payment method: Crossed cheque payable to the Association of Hong Kong Operating Room Nurses. Cash payment is not accepted.

  Please mail this form and cheque to P O Box 2358, General Post Office, Hong Kong directly, or through the Liaison Member of your hospital / organization.

Hospital / Organization: ______

Total Number of Members for Renewal: ______

Amount HK$ ______
Bank ______
Cheque No ______

Name of Liaison Member: ______

Contact Tel No: ______Fax No: ______

Email Address: ______

Correspondence Address:______

______

Signature of Liaison Member:______Date:______

Remark: Please note the renewal of membership from 2017 is automatically transferred to the Association of Hong Kong Operating Room Nurses Limited.

  Please attach membership numbers and names for renewal


Membership Renewal List (April 2017 – March 2018)

Hospital / Institution: ______

No / Membership No / Name
(Full Name Please) / Membership Type (Ordinary / Associated / Retired) / E-mail address / Remarks
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30