澳门中乐团之友.doc

澳門中樂團之友 Amigos da Orquestra Chinese de Macau Friends of the Macao Chinese Orchestra 個人資料/ Dados Pessoais / Personal Information 姓名/ Nome / Name： ____________________________________________________性別/Sexo / Sex：□ 男/M □女/F 出生日期/ Data de Nascimento / Date of Birth：___________年___________月____________日 通訊聯絡/ Contactos /Contacts 住址/ Endere?o / Address：____________________________________________________________________________ 電話/Telefone / Telephone：____________________ 手機 / Telemóvel / Mobile phone___________________________ 電郵/ Endere?o de email / Email Address：_______________________________________________________________ (我希望收到的資訊以/ Gostaria de receber informa??es / I would like to receive the information: □ 電郵傳送/ Via email / By email □ 手機短訊傳送/ Por SMS / By SMS □ 地址郵寄/ Correio / Mail (常用語言/Idioma/ Language：□ 中文 □ Português □ English (我喜歡參加澳門中樂團以下類型的音樂會（可以多選） Eu gostaria de assistir aos seguintes concertos (escolha múltipla): I would like to watch the following concerts (multiple choice): □ 世遺景點音樂會/Integrados na Série de Concertos em Sítios do Património Mundial/Concerts staged in World Heritage Sites □ 節慶音樂會/ Concertos Festivos / Festive Concerts (我喜歡聆聽澳門中樂團演奏以下類型的音樂（可以多選） Eu gostaria de ouvir a Orquestra Chinesa de Macau interpretar os seguintes géneros musicais (escolha múltipla): I would like to listen to the Macao Chinese Orchestra playing the following musical genres (multiple choice): □ 傳統經典民樂/Can??o Folclórica e Tradicional/Traditional and Folk Song □ 流行曲改編/Música Pop/Pop Music □ 戲曲音樂/ópera Tradicional Chinesa/Traditional Chinese Opera □ 宗教音樂/Música Religiosa/Religious Music □ 現代創作音樂/Música Moderna/Modern Music □ 澳門委約作品/Obra Encomendada/Commissioned Work □ 其他/ Outros/ Others：______________________________________________________________________________ 填表人簽名/Assinatura / Signature：__________________________ 填表日期/Data / Date：____________________ (填妥表格後可傳真至00853電郵ochm@icm.gov.mo，亦可親臨或郵寄至澳門塔石廣場文化局大樓 “澳門中樂團之友”收。 (Depoi