善導會 2023-2024年報
BCD.2023.5 农 : ┬⮶㚫 楁㷗䀋Ṽ幺⯤娑忻 15 嘇 㹓匶℔䇝䣦㚫㚵⊁⣏ 603 ⭌ To: SideBySide Room 603, Duke of Windsor Social Service Bldg., 15 Hennessy Road, Wanchai, Hong Kong ㋸㫦堐㟤 Donation Form 㛔Ṣ / 㨇㥳栀シ I / We would like to Ƒ 㭷㚰⭂㛇㋸≑ Donate on a monthly basis Ƒ ἄᶨ㫉⿏㋸㫦 Make a one-off donation ㋸岰㫦枭䁢 With the following amount 烉 Ƒ 㷗⸋ HK$100 Ƒ 㷗⸋ HK$300 Ƒ 㷗⸋ HK$500 Ƒ 㷗⸋ HK$1000 Ƒ ℞Ṿ Other Amount 烉㷗⸋ HK$ ( ⤪㋸㫦Ḱ㊯⭂㚵⊁ / 妰∫炻婳姣㖶烉 Please specify for designated service / scheme: ) 㭷㚰㋸㫦 Monthly Donation Ƒ ᾉ䓐⌉㭷㚰㋸㫦 Credit card monthly debit ᾉ䓐⌉䧖栆 Credit Card Type Ƒ9LVD Ƒ0DVWHU ᾉ䓐⌉嘇䡤 Credit Card Number ᾉ䓐⌉㊩㚱Ṣ⥻⎵ Cardholder’s Name ᾉ䓐⌉㚱㓰㛇军 ( 㚰 / ⸜ ) Card 9alid Date (MM/YY) Ƒ 㛔Ṣ䎦㌰㪲┬⮶㚫䓙㛔Ṣᷳᾉ䓐⌉岔㇞⭂㛇㈋昌ᶲ徘岔㫦炻䚜军⎎埴忂䞍䁢㬊ˤ㛔Ṣ⎴シ㬌㌰㪲㚠㕤㛔Ṣᷳᾉ䓐⌉㚱㓰㛇⯮㺧⼴⍲䌚临䘤㕘⌉㗪 两临䓇㓰炻㭳枰⎎埴⠓⮓㌰㪲㚠ˤ炷⤪暨天⍾㴰ㆾ㚜㓡㛔㌰㪲㚠炻婳㕤⍾㴰ㆾ㚜㓡䓇㓰㖍㛇ᶫᾳⶍἄ⣑⇵忂䞍┬⮶㚫ˤ炸 I hereby authorise SideBySide to charge my credit card account for the amount specified in a regular manner as agreed upon by me and SideBySide until further notice. I agree the validity of this agreement will continue before or after the expiry date of my credit card account. (Notice of cancellation or variation of this authorisation shall be given to SideBySide seven working days before the date on which such cancellation or variation takes effect.) ᾉ䓐⌉㊩㚱Ṣ䯥会 Credit Cardholder’s Signature ᶨ㫉⿏㋸㫦 One-off Donation Ƒ ⬀ℍ㛔㚫㇞⎋ 1 Bank Direct Transfer 1 ⋗寸戨埴 HSBC 烉 023-784457-838 ˤ Ƒ ∫䶂㓗䤐 1 Crossed cheque 1 㓗䤐嘇䡤 Cheque No. 烉 _______________________________ ( ㉔柕Ṣ婳⠓⮓ˬ楁㷗┬⮶㚫˭ˤ Please make cheque payable to “SRACP”.) Ƒ 德忶ˬ PayMe from HSBC ˭㋸㫦 3 Donation via ‘PayMe from HSBC’ 3 ㌫㍷ QR ⚾䡤炻᷎㕤Ẁ㫦妲〗㍸ὃ 敋ᶳ䘬 ⥻⎵ˣ暣娙⍲暣悝⛘⛨ˤ ( 㭳暨⠓Ṍ㬌⚆㡅 ) Scan QR code, provide your name, contact no. and email address at the message (This form is not required.) Ƒ ᾉ䓐⌉㋸㫦 ( 䵚ᶲ㋸㫦 ) Donate by Credit Card (Online donation) ㌫㍷ QR ⚾䡤忚ℍ䵚⛨ˤ ( 㭳暨⠓Ṍ㬌⚆㡅 ) Scan QR code to proceed. (This form is not required.) ㋸㫦侭屯㕁 Donor’s Information (* 䁢⽭枰⠓⮓枭䚖 * denoted mandatory fields) ┬攟剛⎵ㆾ㨇㥳⎵䧙 Name of Individual or Organisation: ( ᷕ㔯 Chinese)___________________ ( 劙㔯 English)_________________________ ( ⃰䓇 Mr. / ⤛⢓ Ms.) 倗䴉Ṣ Contact Person 烉 ________________________________ ( ⃰䓇 Mr. / ⤛⢓ Ms.) 借扄 Position 烉 _____________________________ 倗䴉暣娙 Tel* 烉 _____________________ ⁛䛇 Fax 烉 _________________ 暣悝 E-mail* 烉 _______________________________________ 悝⭬⛘⛨ Mailing Address____________________________________________________________________ ( ỷ⬭ Residential / ℔⎠ Office) Ƒ 㛔Ṣ / 㨇㥳暨天㓞㒂ẍἄ䓛婳㈋䦭ᷳ䓐ˤ 2 Please send me / us an official receipt for tax deduction. 2 ᾳṢ屯㕁㓞普倚㖶 Personal Information Collection Statement 㛔堐㟤㓞普䘬ᾳṢ屯㕁⮯♜㟤ᾅ⭮嗽䎮炻᷎⎒㚫䴎Ḱ┬⮶㚫䓐㕤䯴⊇䚠斄ḳ⭄ˣ䘤↢㓞㒂⍲ἄ↢沜嫅ˤ㟡㒂˪ᾳṢ屯㕁 ( 䥩晙 ) 㡅ἳ˫炻Ἀ㚱㪲晐㗪㞍教㚜㓡┬ ⮶㚫㊩㚱斄㕤Ἀ䘬ᾳṢ屯㕁ˤ┬⮶㚫㒔ἧ䓐Ἀ䘬ᾳṢ屯㕁 ( ⌛Ἀ䘬⥻⎵倗䴉屯㕁 ) 忚埴ヰ┬⊇㋸ẍ⍲㳣≽㚵⊁倗䴉⇵炻⽭枰⃰埴⍾⼿Ἀ䘬⎴シ炻劍Ἀᶵⶴ㛃㓞⇘ 㛔㚫ảỽ忂妲炻ㆾ⎒ⶴ㛃德忶悝⭬ / 暣⫸悝ẞ㓞⇘忂妲炻婳⛐ẍᶳ䨢㟤≈ᶲˬ 9 ˭嘇ˤ 悝⭬ 暣⫸悝ẞ ᶵ㍍㓞ảỽ忂妲 㚱斄ᾳṢ屯瀌䘬㞍娊⍲㚜㕘炻ㆾ㖍⼴㫚 㬊㓞⇘┬⮶㚫䘬㍐⺋屯妲炻婳农暣 (852) 2527 4018 ㆾ暣悝军 dpo@sidebyside.org.hk 冯㛔㚫倗䴉 ˤ Your personal data collected in this form will be kept strictly confidential and made available only to SideBySide for handling donation matters, issuing receipts and making acknowledgments. Under the Personal Data (Privacy) Ordinance, you have the rights of access and corrections with respect to your personal data held by SideBySide and SideBySide should obtain your prior consent if it intends to use your personal data (i.e. your name and contact details) for soliciting donations and keeping you informed of its activities and services. (If you DO NOT wish to receive any communications from SideBySide, or only receive communications via post or email, please put a ˬ 9 ˭ in the appropriate box/boxes below.) Only by post Only by email No communications If you want to enquire on or update your personal data, or do not wish to receive any promotional materials from SideBySide, please contact us at (852)2527 4018 or by email dpo@sidebyside.org.hk. 䯥会 Signature 烉 _______________________________________ 㖍㛇 Date 烉 ______________________________ ⁁姣 Remarks 婳⮯㓗䤐ㆾ戨埴ℍ㔠䳁㬋㛔忋⎴㬌堐㟤ᶨἝ⭬⚆㛔㚫炻ẍὧ䘤↢㬋⺷㓞㒂 ( ⤪暨天侭 ) ˤ Please send the cheque or bank-in slip together with this form for issuance of donation receipt, if required. 㷗⸋ $100 ㆾẍᶲ䘬㋸㫦⎗䓛婳㷃䦭ˤ㭷㚰㋸㫦䘬㬋⺷㓞㒂⮯㕤㭷⸜⚃㚰⭬⣱ˤ Donation of HK$100 or above is tax deductible. For monthly donations, an official receipt will be issued in April annually. 㛔㚫ㆸ≇㓞⇘ˬ PayMe from HSBC ˭Ṍ㖻䲨抬⼴炻⮯ὅ䄏㋸㫦侭䘬妲〗⛐ᶫᾳⶍἄ⣑ℏ䘤↢㬋⺷㓞㒂ˤ ( 㷗⸋ $100 ㆾẍᶲ䘬㋸㫦 ) After successfully received the transaction on ‘PayMe from HSBC’, an official receipt will be issued according to the donor’s message within seven working days. (For donation of HK$100 or above) 㛔㚫姣Ⅎ⎵䧙烉楁㷗┬⮶㚫炷䁢姣Ⅎ㑼ᾅ㚱旸℔⎠炸 Registered company name: The Society of Rehabilitation and Crime Prevention, Hong Kong (Incorporated with limited liability by guarantee)
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