個人 Individual
每月捐款 Monthly Donation


Please confirm the following information is correct


必須填寫註有 * 的項目 * Mandatory fields

Corporate Information

Company/Organisation Name
公司/機構名稱
公司網頁 Website
業務性質及類別 Business Nature & Business Category:

個人資料 Personal Information

Title
Surname
Given Name
Other Name
稱謂
姓氏
名字

聯絡電話 Contact Number

電郵地址 Email Address
捐款者編號 (如適用)
Donor Number (If Applicable)
職位 Position:
部門 Department:

通訊地址 Mailing Address

地址語言偏好 Address Preference   
室 Flat
樓 Floor
座 Block
大廈 Building
街道 Street
地區 District
區域 Region

每月捐款 Monthly Donation

每月金額 Monthly Amount










信用卡類型 Credit Card Type
信用卡號碼 Credit Card Number
- - -
到期月份 Expiry Month
到期年份 Expiry Year
持卡人姓名 Card Holder Name

一次性捐款 One-off Donation

金額 Amount:













收據方式 (Receipt Method):
收據抬頭 (Receipt Name):
捐款港幣100元或以上可申請稅項減免。
Donations of HK$100 or above are tax deductible.
通訊語言 Communication Language Preference:

你從下列哪個渠道得知此網上捐款資訊?
Which of the following channels do you know about this online donation?


收集個人資料聲明 Personal Data Collection Statement

協康會會嚴格遵守及履 行個 人 資料（私隱）條例 之 規定，並 確保你的個 人 資料的準確性及安全性，我們絕不會出售或與任何公司/機構交換你的個人資料。你的個人資料（包括你的姓名、電郵、住址及電話等） 或會被本會用作聯絡通訊、籌款、處理捐款、推廣活動、研究調查及其他通訊及推廣之用途。根據《個人資料（私隱）條例》，你有權要求查閱及改正申請表上所填報的個人資料。如你欲行使這項權利，請將姓名、聯絡電話及電郵，電郵至donor@heephong.org聯絡協康會保障個人資料(私隱)主任，以安排相關手續。如有任何查詢，請聯絡「童途有您」專線 3618 6320。有關更多私隱聲明詳情，可瀏覽本會網頁https://www.heephong.org/privacy-policy。
*為必須填寫項目，如未有提供，本會可能無法處理你的捐款申請。

Heep Hong Society undertakes to comply with the requirements of the Personal Data (Privacy) Ordinance lo ensure that personal data kept are accurate and secured. Heep Hong Society promise not to sell, share or swap your personal information with any other company/ organisation. Your personal information (including name, email address, phone no., etc.) may be used by Heep Hong Society for the purposes of sending organisational updates, fundraising appeals, donation processes, event invitations, surveys and other communication and marketing materials to you via telephone, post and/or electronic mails. According to the Personal Data (Privacy) Ordinance, you have the right to request access to and correction of the personal data provided in the application form. If you want to exercise this right, please email your name, contact number and email to Data Privacy Officer at donor@heephong.org for the arrangement. For any enquiries, please contact our donor services hotline 3618 6320. For more information on privacy statement, you can visit https://www.heephong.org/privacy-policy.
* is a mandatory fields to fill in, If you do not provided, we may not be able to process your donation application.
收集個人資料聲明 Personal Data Collection Statement
協康會會嚴格遵守及履行個人資料（私隱）條例 之 規定，並 確保你的個人資料的準確性及安全性，我們絕不會出售或與任何公司/機構交換你的個人資料。你的個人資料（包括你的姓名、電郵、住址及電話等） 或會被本會用作聯絡通訊、籌款、處理捐款、推廣活動、研究調查及其他通訊及推廣之用途。根據《個人資料（私隱）條例》，你有權要求查閱及改正申請表上所填報的個人資料。如你欲行使這項權利，請將姓名、聯絡電話及電郵，電郵至donor@heephong.org聯絡協康會保障個人資料(私隱)主任，以安排相關手續。如有任何查詢，請聯絡「童途有您」專線 3618 6320。有關更多私隱聲明詳情，可瀏覽本會網頁https://www.heephong.org/privacy-policy。
*為必須填寫項目，如未有提供，本會可能無法處理你的捐款申請。

Heep Hong Society undertakes to comply with the requirements of the Personal Data (Privacy) Ordinance lo ensure that personal data kept are accurate and secured. Heep Hong Society promise not to sell, share or swap your personal information with any other company/ organisation. Your personal information (including name, email address, phone no., etc.) may be used by Heep Hong Society for the purposes of sending organisational updates, fundraising appeals, donation processes, event invitations, surveys and other communication and marketing materials to you via telephone, post and/or electronic mails. According to the Personal Data (Privacy) Ordinance, you have the right to request access to and correction of the personal data provided in the application form. If you want to exercise this right, please email your name, contact number and email to Data Privacy Officer at donor@heephong.org for the arrangement. For any enquiries, please contact our donor services hotline 3618 6320. For more information on privacy statement, you can visit https://www.heephong.org/privacy-policy.
* is a mandatory fields to fill in, If you do not provided, we may not be able to process your donation application.