捐赠函Donation Confirmation Form.doc

捐 赠 函Donation Confirmation Form 深圳壹基金公益基金会Shenzhen One Foundation 捐赠单位或个人名称Donor’s Name (捐赠票据抬头) (Invoice Title) *指实际捐赠人*The actual person or organization that makes the donation. （填写捐赠票据抬头） 代捐单位或个人名称 Delegated Donor’s Name *指受托捐款人，非实际捐赠*The person or organization that is delegated by the actual donor to make the donation (填写转款账户人的名称) 接收捐赠票据方式 Invoice issuing □ 邮寄 □ 电子邮件□ by Post OR □ by E-mail: _______________________ ____ 捐赠单位或个人地址(邮寄) Donor’s Address(by Post) 联系电话 Phone 捐赠金额 The Amount of Donation （大写）： USD(Capital) 捐款单位或个人捐赠意向 Donor confirms to□ 用于符合深圳壹基金公益基金会宗旨的慈善公益活动□ □ Make a non-specified donation to charitable activities which are in accordance of philanthropy tenet of Shenzhen One Foundation. □ 或指定用途：□ OR make specific donation to:______________________________________ 壹基金指定银行账户 Bank Account of Foreign Currency Account： Account Name：Shenzhen One Foundation Bank Name：China Merchants Bank Bank address：China Merchants Bank Tower, No.7088, Shennan Boulevard, Shenzhen, China Account numberUSD)：755917671032111 SWIFT CODE: CMBCCNBS 户名：深圳壹基金公益基金会银行：招商银行总行营业部帐号： 银行地址：广东省深圳市福田区深南大道7088号 捐赠单位确认（公章）： Donor- Organization (Seal) 捐赠个人确认（签名）： Donor-Individual (Signature) 年　　月　　日 YY MM DD 代捐单位或个人确认 Delegated Donor （盖章或签名）： (Seal or Signature) 年　　月　　日 YY MM DD 说明： Please?be?noted?that?this?form?will?be?regarded?as?an?acknowledgement?of?your?donation?to?One?Foundation,which?is?required?for?any?donation?in?form?of?a?foreign?currency, being?delegated?or?donated?for?specific?projects 银行捐赠户名与捐赠单位或捐赠个人名称一致时，仅需捐赠单位盖章或捐赠个人签名即可。When the bank account information of the donation is consistent with the actual donor’s name, only the actual donor’s official seal (from organizations) or signature (from individuals) is required 银行捐赠户名与捐赠单位或捐赠个人名称不一致，即出现代捐行为时，需由捐赠单位盖章或捐赠个人签名，并加代捐单位或个人的盖章或者签字。When the bank account information of the donation is not consistent with the actual donor’s name, meaning there is a delegated donor, the offi