基金之友会籍申请和活动参加表格.PDF

基金之友會籍申請及活動參加表格 Friends of the Foundation Membership Application and Activity Enrollment Form 為了支持香港海洋公園保育基金的工作 ，我願意作出以下捐款 # 每位基金之友會員可邀請一位非會員以會員價參加 To support the conservation efforts of OPCFHK, I would like to donate as follows 「夜探大潭動物明星」 (請務必填寫’*’欄位Items marked with ‘*’ are mandatory): each member can invite one non-member tojoin the ‘Nigh Safari in Tai Tam’ at member rate 個人資料Personal Information * 付款方式Payment Method *中文姓名Chinese Name: _______________________ 先生/女士/小姐 請在以下信用卡戶口扣除款項 *英文姓名English Name: (Mr./Ms/Miss) __________________________ Please debit from the credit card account below VISA 萬事達卡MasterCard *出生年月Year Month of Birth: _______ 月Month _______ 年Year *電郵E-mail:___________________ 電話Telephone: _______________ 持卡人姓名 *通訊地址Correspondence Address: 信用卡號碼Card No.: ________________________________________ _______________________________________________________________ 有效日期至Expiry date: 月Month 年Year 適用於小童會籍Applicable to Junior Membership 持卡人簽署Cardholder’s signature:_____________________________ *家長或監護人姓名Name of parent/guardian: ___________________ 下列付款方式只適用於單次捐款 我希望加入「基金之友」 Below methods ONLY applicable to one-off donation I wish to join the Foundation 直接存入香港海洋公園保育基金帳戶(請將入數紙正本連同表格寄回)