本人願意以信用卡捐款予 香港盲人輔導會
I would like to make donation to The Hong Kong Society for the Blind by Credit Card
   
  捐贈用途 Donation purpose :
   
  1.General donation to cover Recurrent Expenses of the Society
    貴會經常費用
  2.Information Technology Equipment for the Visually Impaired
    視障人士資訊科技設備
  3.Community Services for the Aged Blind
   

視障長者社區服務
  4.Community Services for the Visually Impaired
    視障人士社區服務
  5.Employment Services for the Visually Impaired
   

視障人士就業支援服務

  6.Low Vision and Surgical Services
    低視能及復明手術服務
  7.Others (please specify)
    其他(請註明)
   
     
 
港幣 $： HK$100.00 HK$500.00 HK$1,500.00
HK$ HK$2,500.00  
  其他金額 Other Amount
  請填寫整數, 不需輸入任何符號 Please fill in a round number, no comma
 
 
   
  所有個人資料將保密處理及只作寄發收據和通訊用途
Your personal information provided will be kept in strict confidence and be used for issuance of
receipt and correspondence purpose only
   
 
中文姓名：
Chinese Name:    
     
英文姓名： *
English Name: *    
     
捐款者編號：(舊捐款者適用)
Donor Ref. No. (if any)    
     
聯絡電話： *
Contact No.: *    
     
傳真號碼：
Fax No.:    
     
電郵地址：*
Email Address:*    
     
地址：
Postal Address:
 
請寄回收據
  
  Please send me receipt  
     
  若收據抬頭人並非捐款者，請填寫抬頭人之英文名稱:
If the recipient’s name differs from the donor, please specify		  
   
     
毋需開發收據，以幫助節省行政開支。  
  To help save administration costs, please do not send me a receipt  
     

(此「網上捐款」網頁由東亞銀行贊助設立)

  

(This Online Donation webpage is sponsored by The Bank of East Asia, Limited)