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1、個人資料 Personal Information捐款金額 Donation Amount 支票捐款 Cheque Donation捐款方法 Donation Method 繳費靈捐款 PPS Donation 存入九龍樂善堂銀行户囗 Transfer to The Lok Sin Tong Benevolent Society, Kowloons bank account 網上捐款 Online Donation 便利店捐款 Donation at convenience store捐款收據 Donation Receipt我願意捐款支持以下項目 I would like to make a
2、 donation to support姓名 Name 電話 Tel 機構名稱 (如適用) Organization(if applicable) 一次性捐款 One-off Donation HK$支票號碼 Cheque Number本堂商戶編號 Our merchant code: 6301付款編號 Payment reference no. 日期 Datehttps:/www.loksintong.org/zh_hk-donation.html 網上捐款可以透過網站填寫有關資料，不需要交回此表格。You may complete the information through the w
3、ebsite and do not need to return this form. 請攜同捐款條碼到全港任何一間OK便利店、VanGO便利店或華潤萬家超級市場以現金捐款。請將交易紀錄存根正本連同填妥之表格交回九龍樂善堂。Please present the donation barcode to any Circle K, VanGO store or China Resource Vanguard Supermarket. Please send the original transaction record and completed form to us. 以上資料只用作捐款、日後聯
4、絡及寄發九龍樂善堂訊息之用。Personal information will be only used for the purposes of donation, future contact and sending you Lok Sin Tongs newsletter and programme information.捐款港幣一百元或以上可獲發正式收據，於本港作扣減稅項之用。 Receipts will be issued for donations over HK$100, which are tax deductible in Hong Kong. 需要 Please issue
5、 donation receipt 捐款收據芳名 Name on receipt (先生Mr./女士Ms.*) (如與善長不同If different from donor s name)*如閣下有意以每月捐款形式支持樂善堂，請到本堂網站 www.loksintong.org下載每月捐款表格。If you wish to make a Monthly Donation, please download the Monthly Donation Form from our website www.loksintong.org.請備劃線支票，抬頭寫上九龍樂善堂Please prepare cros
6、sed cheque made payable to “The Lok Sin Tong Benevolent Society, Kowloon”.恒生銀行 Hang Seng Bank: 285-000089-003 中國銀行(香港) Bank of China(Hong Kong): 019-589-0-007533-3 請將有關銀行存根連同填妥之表格交回九龍樂善堂，以便發出收據。Please send the bank-in slip and completed form to us for issuing receipt.通訊地址 Postal Address傳真 Fax 電郵 Ema
7、il (先生Mr./女士Ms.) 樂善堂醫療、教育、安老及社福服務 Lok Sin Tongs Medical, Educational, Elderly and Social Welfare Services 樂善關懷基金 Lok Sin Tong Caring Fund 樂善堂言語治療服務及特殊學習需要兒童計劃 Lok Sin Tong Speech Therapy and Support Service for Children with Special Needs 樂善堂少數族裔支援服務 Lok Sin Tong Support Service for Ethnic Minoritie
8、s 樂善堂 膳 待飯券計劃 Lok Sin Tong Meal Delivery Service樂善之友籌辦義工服務 LST Buddy Voluntary Services 其他Other 請在適當方格內加上 及填寫資料 地址: 九龍城龍崗道61號 電話: 2272-9810 傳真: 2382-1811 電郵: donationloksintong.org 網址: www.loksintong.org Please where appropriateAddress: 61 Lung Kong Road, Kowloon City Tel: 2272-9810 Fax: 2382-1811 E
9、mail: donationloksintong.org Website: www.loksintong.org 本人不想再收到有關九龍樂善堂的宣傳訊息。I do not wish to receive any promotional message from Lok Sin Tong.REF 2017你可以於郵寄時貼上郵票，幫助九龍樂善堂減低行政開支，讓更多人受惠 。To help us save cost, you can use a stamp when mailing. 為節省行政開支，本人不需要捐款收據。To save administration costs, no donatio
10、n receipt is required.每次捐款可支持樂善堂各項服務 發展經費。收看樂善同行顯情真 宣傳片段，以了解我們的服務。 You can support Lok Sin Tong services with every donation.Watch the TV Commercials about our core services.POSTAGE WILL BE PAID BY LICENSEE 郵費由持 牌人支付NO POSTAGE STAMP NECESSARY IF POSTED IN HONG KONGBUSINESS REPLY SERVICE LICENCE NO.398 商業回郵牌號 : 398The Lok Sin Tong Benevolent Society 61 Lung Kong RoadKowloon City Kowloon救災紓困贈醫施藥興學育才安老培幼九 龍九 龍 城龍 崗 道 六 一 號九 龍 樂 善 堂 台 啟KCL.KCE51如在本港投寄 毋須貼上郵票
