Pre-treatment Guidance Registration

The registration would help us to understand ahead of time what information you are looking for
1. Your name 姓名
* 2. Preference of consultation 沟通方式
* 3. Here are my questions 请填写你有的问题
* 4. I'd like to use the following language to communicate 语言
* 4. This is my WeChat for you to get in touch with me 你的微信
* Please inform our registration coordinator Summer after you complete this form. (WeChat:SHANGyy101206)

填写完此表格后,请告知我们的报名协调员Summer (微信名:SHANGyy101206)