助养表格SPONSORSHIP FORM.doc

助養表格SPONSORSHIP FORM 敬請慷慨解囊，支持保護遺棄動物協會，讓被遺棄的動物重獲新生： Please support SAA and give abandoned animals a second chance at life:One Off / Monthly Donation Amount 一次性 / 每月 捐助金額: HK$______________________ 個人資料 PERSONAL INFORMATION(English / 英文) Surname 姓: First Name 名: (Mr. 先生/Mrs. 太太/Ms 女仕) (Chinese 中文姓名) : Contact no 聯絡電話: (Daytime 日間) (Mobile 手提電話) Residential Address 住址: Email address 電郵地址: 收取收據方式: 每月收取（(電郵可節省郵費開支, (郵寄) ／ 每年收取 ((只可郵寄) Receipt Method: Monthly (( email (savings on postage) ( post / Yearly (( By post only) 付款方式PAYMENT METHOD: ( 現金 Cash ((By credit card) Please charge my credit card for Donation (Visa ( 萬事達( Mastercard) 咭號碼 (Credit card no.) : - - - 有效期至 (Card expiry date) / (MM/YY) 信用咭姓名 (Cardholder’s name) : 簽名(Signature) : ( 以劃線支票付款(By cheque) Cheque number):_____________________________________ (請付上劃線支票，抬頭為「保護遺棄動物協會」) (Please cross your cheque and make it payable to Society for Abandoned Animals) ( 捐款可直接或以網上過數存入本會的戶口 Donations to our Account by direct deposit or online transfer.( 滙豐 HSBC：041-5-040765( 南洋商業銀行 Nanyang Commercial Bank: 043-47511839755(請連同銀行收據及此回條傳真或寄回本辦事處) (Please send deposit slip by fax or post together with this form to our office) 繳費聆 PPS - 本會之商戶編號為9341，並請以八位數字的聯絡電話號碼作為捐款人編號。Our merchant code is 9341, please enter your 8-digit contact number as your donor reference 銀行戶口每月自動轉賬〈請填妥自動轉賬授權書，把正本寄回元朗郵政信箱697號，副本則無效。〉 Bank MONTHLY Autopay (Please fill in the Direct Debit Authorization Formnd mail it toP.O. Box 697, Yuen Long, N.T. (Photocopy will not be accepted) ) ( 7- eleven 或OK便利店直接捐款 (可攜同捐款表格, 到全港任何一間7-eleven或OK便利店直接將捐款存入本會戶口。捐款額為港幣一百元至五千元,請連同收據及此回條傳真或寄回本辦事處) Cash donation at any of the 7-Eleven or Circle K outlets (Please bring along this form when making donation. You can make donations between HK$100 and HK$ 5000. Please send deposit slip by fax or post together with this form to our office)  助養動物 (每月$99) SPONSOR ANIMALS ($99/Month or over) 編號名稱助養No. of Year of Sponsors