| 名字 First Name | ____________________________________________________________ |
| 姓氏 Last Name | ____________________________________________________________ |
| 教會職位 Church Position | ____________________________________________________________ |
| 住址 Home Address | ____________________________________________________________ |
| 城市 City | ____________________________________________________________ |
| 省份 Province | ____________________________________________________________ |
| 郵區號碼 Postal Code | ____________________________________________________________ |
| 電話 Home Phone | ____________________________________________________________ |
| 電郵 E-mail | ____________________________________________________________ |