一般/非指定用途 General / Unspecified
福音事工 Christian Ministry
「有作為」視障青年就業計劃 Project WORKS
其他(請註明) Others (Please Specify)

中文姓名 Chinese Name:

*英文姓名 English Name:

*聯絡電話 Contact No.:

*電郵地址 Email Address:

郵寄地址 Postal Address:

*每月捐款金額: Monthly Donation Amount(HKD)

港幣 $:		100	300	500
HK $:		1000	3000	5000
		其他金額 Other Amount
網上捐款上限設定為$5,000元。若閣下希望捐款多於$5,000元, 請下載以下紙本捐款表格並使用其他捐款方法。 The transaction limit of online donation is $5,000. If you wish to contribute over this amount, please download the hardcopy donation form below and use other donation method. 下載捐款表格 請填寫整數，不需輸入任何符號。 Please fill in a whole number and don't key in any symbol.

*收據選擇 Receipt Request

  請寄回收據 (捐款HK$100或以上可憑收據申請扣稅。我們會在銀行確認交易及過數後發出收據．需時約兩個月。)
Please send me a receipt (Donations of HK$100 or above are tax deductible with a receipt. We will send the receipt after the bank transaction and acknowledgement. It takes about 2 months)
  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.

*心光e-資訊 Ebenezer e-Information

  以電子方式接收心光資訊 Receive information by e-mail.
  不接收心光資訊 Not receive any information on Ebenezer's services

閣下提供之資料只作本院通訊及捐款紀錄之用，不會轉交其他第三方。上述資料屬自願性提供，未能提供足夠資料將影響寄發收據。如有任何查詢或欲更改閣下之資料，歡迎與本院行政主任聯絡。
Your information will be used for correspondence and donation record purpose only. It will not be transferred to other parties. Provision of information is voluntary. Receipt can only be sent with enough information. For access to or correction of your data, please feel free to contact our Admin Officer.

*鳴謝表 Acknowledgement

  願意把捐款人姓名刊載於「鳴謝」表內 Show donor's name in Ebenezer's "Acknowledgement"
  不願意把捐款人姓名刊載於「鳴謝」表內 Not to show donor's name in Ebenezer's "Acknowledgement"