Po Yin Association for the Development of Education

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Donation Form

( PDF Format / Word Format )

Name:		_______________(Chinese) _______________(English)
Title:		___ Mr. ___ Ms. ___ Dr. ___ Other, please specify _______
Contact telephone number:		_______________(daytime) _______________(evening)
Correspondence address:		_____________________________________________
		_____________________________________________
Email address (if any)		_____________________________________________

I would like to support Po Yin in the following way(s):

A.	Donation of HK$ _______________ (no specified purpose)

B.	Donation to 'One-to-One Project' (HK$100 can sponsor primary education for a pupil in Guizhou for one year)
	___	HK$ 100	___	HK$ 300
	___	HK$ 600	___	HK$____________

C.	Donation to 'Sapling Project' (HK$1,800 will help support a student in senior middle school, i.e. Grade 10 - 12, for one year)
	___	HK$ 900	___	HK$ 1,800
	___	HK$ 2,700	___	HK$____________

D.	Donation to sponsor tertiary education (Po Yin provides sponsorship of HK$12,000 to each student for all the academic years combined)
	___	HK$ 12,000	___	HK$____________

E.	Donation to school improvement projects
	___	HK$____________

F.	___	Serving as a volunteer

G.	___	Receiving news about Po Yin

For donations, please:

write a cheque payable to "Hong Kong Po Yin Association for the Development of Education Company Limited, or
Credit our bank account with Hongkong and Shanghai Banking Corporation (account number: 047-854245-838), and
Send the cheque or bank credit advice together with this donation form to our Association at Room 5, 15/F., Yip Fung Industrial Building, No.7. Sheung Hei Street, San Po Kong, Kowloon.

Please fill out the following:

Cheque number: ______________ Name of Bank: ______________________

Or

Bank credit advice number: ________________

Note:
All personal information is kept strictly confidential. Kindly keep us informed of any change in your contact details. Please contact us if you would like to check our record on your personal information.