HKUST Physics Alumni Association

Registration form for Trip to Tung Ping Chau (東平洲) on 5 June 2005

Please fill in the following form to join the
Trip to Tung Ping Chau (東平洲) on 5 June 2005.

Title*	Mr. Ms. Mrs. Dr. Prof.
English Name	Surname*	First Name*
Chinese Name
Year of Graduation*
Email*
Other Contact Information*	Mobile Phone / Home Tel.
Options: Please book the ferry for me and I will pay the fare ($80) in cash to HKUST PAA on 5 June 2005. I will buy the ferry ticket(s) myself. (Ferry Company)
	I am a member of HKUSTPAA