Registration Form

FringeBacker Covid-19 Hong Kong Virtual Marathon

First Name 名字

Last Name 姓氏

Gender 性別

Male 男Female 女

Mobile 手提電話

NOTE: This will be required to login to your dashboard 注意：這會用作登入你個人帳戶

Email 電郵

NOTE: This will be required to login to your dashboard 注意：這會用作登入你個人帳戶

Date of Birth (dd/mm/yyyy) 出生日期 (日月年)

NOTE: This will be required to login to your dashboard 注意：這會用作登入你個人帳戶

Delivery Address 郵寄地址

This is required for delivery of your medal

I agree to the FringeBacker Terms of Use.

I agree to receive news and offers from FringeBacker and consent to the use of my personal data for this purpose. 我同意使用我的個人資料並收取FringeBacker的通訊和推廣資訊

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