人類學遊戲《田野現場：移動中的愛》索取表格 Request Form for "In the Field: Moving Love" Anthropology Game

人類學遊戲《田野現場：移動中的愛》索取表格 Request Form for "In the Field: Moving Love" Anthropology Game

《田野現場：移動中的愛》是一款角色扮演類桌上遊戲，基於人類學田野研究設計而成。實體版遊戲開放予公衆免費索取，供娛樂、教育等非牟利用途。請填妥此表格。
In the Field: Moving Love is a role-playing board game based on anthropological field research. Physical copies of the game are available for public requests free of charge, for non-profit purposes such as entertainment and education. Please fill out this form.

游戲數量有限，學系將在收到索取申請後，再聯絡申請者確認是否能提供相應數量。
The quantity of games is limited. After receiving your request, we will contact you to confirm whether the amount of games requested can be provided.

如有查詢，請聯絡香港中文大學人類學系。
For inquiry, please contact the Department of Anthropology, The Chinese University of Hong Kong.

電話 Phone: 3943 7670
電郵 Email: anthropology@cuhk.edu.hk

姓名（中或英文全名）
Name (full name in Chinese or English)
請問你是 You are:

請問你是 You are: 公衆人士 General Public 人類學系學生Anthropology Department student 人類學系系友 Anthropology Department alumni 其他，請注明 Other, please specify
請問你是為個人或機構用途索取此款人類學遊戲？
Are you requesting the Anthropology Game for personal or institutional use?

請問你是為個人或機構用途索取此款人類學遊戲？ Are you requesting the Anthropology Game for personal or institutional use? 個人 Personal 機構，請注明機構名稱 Institutional, please specify the name of the institution
電郵 Email
電話 Phone
索取數量（繁體中文版） Copies Requested (Traditional Chinese version)
索取數量（英文版）Copies Requested (English version)
*優先提供予非華語人士。Priority will be given to non-Chinese speakers.
領取方式 Collection Method

領取方式 Collection Method 到香港中文大學人類學系領取 Pick up at CUHK Anthropology Department 郵寄至香港或澳門地址（順豐，運費到付）Deliver to an address in Hong Kong or Macau (by SF Express, delivery fee to be paid by you upon delivery) 如你希望郵寄到外地，請在此欄説明，我們會與你聯絡。 If you want to request mailing the game outside Hong Kong, please specify here and we will get in touch with you.
如你選擇郵寄到香港或澳門，請填寫收件地址：
If you choose delivery to Hong Kong or Macau, please fill in your shipping address:
收件人 Recipient
聯絡電話 Contact phone number
地址 Delivery Address （請注明區域，例如九龍城區、沙田區或澳門半島、氹仔等）(Please specify the area, e.g. Kowloon City District, Sha Tin District or Península de Macau, Taipa etc.)
備注（如有）Remarks (if any)
你的反饋對我們很重要。完成遊戲後，請掃描遊戲盒中的卡片上的二維碼，填寫簡短問卷，分享你的遊戲體驗。非常感謝！
Your feedback is very important for us. After playing the game, please fill out a brief survey to share your experience. You will see a card in the game set and can scan the QR code to access the survey. Thank you!

你的反饋對我們很重要。完成遊戲後，請掃描遊戲盒中的卡片上的二維碼，填寫簡短問卷，分享你的遊戲體驗。非常感謝！ Your feedback is very important for us. After playing the game, please fill out a brief survey to share your experience. You will see a card in the game set and can scan the QR code to access the survey. Thank you! 好 ok
Disclaimer The personal data collected will be used by Department of Anthropology (ANT) and authorised personnel for processing the captioned purposes in accordance with relevant provisions of the Personal Data (Privacy) Ordinance.