PDF《我/我们愿意捐款支援爱德基金会於 埃塞俄比亚旱灾 的救灾工...》

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I/We wish to contribute to Amity's Relief Work at Ethiopia Drought: 我/我们愿意捐款支援爱德基金会於 埃塞俄比亚旱灾 的救灾工作: 捐助金额 Donation Amount: HK$ Personal Information 个人资料 捐款人姓名:(先生/小姐/女士/太太/牧师/博士) Name in English: (Mr./Mrs./Ms/Rev./Dr.) 地址(Address): 电邮 Email: 联络电话 Contact No.: 我暂不需要收到爱德的项目动态新闻.I do not wish to receive project updates from Amity. 个人资料收集将受严密保护,只作发收蚱诳ㄑ队猛.All personal data collected will be treated as strictly confidential and used for issuing receipts and sending newsletters only. I/We would like to pay NOW by: 我/我们用以下方式捐款: ? 现金 Cash ? 支票 Cheque (抬头请写「爱德基金会 (香港)」或or Payable to:「Amity Foundation, Hong Kong」) ? 银行入数 Direct payment into the account of Amity Foundation, Hong Kong / 爱德基金会 (香港) 汇丰银行 The Hong Kong & Shanghai Banking Corporation 帐户 Account #: 127-5-017372 中信银行国际 Citic Bank International Limited 帐户 Account #: 701-1-22399-100 信用咭 Credit Card Visa MasterCard 持咭者姓名Name of Card Holder: 信用咭号码Credit Card No.有效期Expiry Date (MM/YYYY) 签署Signature: 请将入数纸连表格传真至或邮寄到爱德基金会 (香港).Please return the form (with deposit slip if applicable) through fax or mail to Amity Foundation, Hong Kong.(HKD100 或以上的捐款将获发收. Receipts will be issued for donations of HKD100 or more.) 爱德基金会 (香港) 九龙 佐敦道

5 号 至秀商业大厦

13 楼Amity Foundation, Hong Kong 13/F, Ultragrace Commercial Building,

5 Jordan Road, Kowloon, Hong Kong 电话 Tel:

2723 8011 传真 Fax:2366

2769 电邮 Email: amityhk@amityfoundation.org 网址 Website: www.amityfoundation.org