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以信用卡作每月定额捐款
Monthly Donation by Credit Card
备注: 此表格所收集得的资料只用作登记用途。填妥后,你将会收到电邮确认。此外,福利协会的同工将透过电话与你联络及核对个人资料。当我们确认资料无误后,才会与银行处理 阁下每月捐款的指示。
Remarks: The information collected by this form is used for registration only. You will receive an email confirmation upon completion of the form. Our staff will contact you and verify the information by phone. After confirmation, we will process your monthly donation instruction with bank.

本人愿意捐款作以下用途 I would like to donate for the following purpose(s)

1. 捐款资料 Donation Information
捐款用途
Donation Designation *
捐款金额
Donation Amount *
是否需要捐款收据?
Receipt Required? *
      
捐款满港币 $100 可申请免税。 为节省行政资源,总捐款额收据将於每年财政年度完结后寄发。
Donation of HK$100 or above is tax deductible. To save our administrative resources, official receipt for the total donation will be issued at the end of each fiscal year. )
2. 捐款者资料 Donor Information
称呼
Salutation
捐款者类别
Donor Categories *
 
 
 
 
 
善长芳名
Name of Donor *
电邮
Email *
性别
Gender
      
年龄
Age
联络电话
Telephone No. *
手提电话
Mobile Phone No.
传真
Fax No.
3. 地址 Address
(用作邮寄捐款收据用途,如需邮寄捐款收据请填写详细地址 please fill in the full address if you require a hard copy of the donation receipt)

Flat/Room

Floor

Block
大厦/楼宇名称
Name of Building/House
屋苑/屋村名称
Name of Estate
街道
Street Name
街道号码
Street No.
地区
District
香港以外国家
Country Outside HK
* 为必须输入资料 Required data input
4. 捐款方式 Donation Methods
信用卡号码
Card No. *
到期日 (MM/YY)
Expiry Date *
/
定额捐款到期日
Expiry date of regular donation
[ 如 阁下意欲本交易指示无限期有效 (或直至 阁下予以撤销为止),则请将该栏留空。]
[If you wish this instruction to have effect indefinitely (or until cancelled by you), please leave the field blank. ]
1. 本人现授权香港圣公会福利协会有限公司由本人之信用卡账户内定期扣除上述之款项,直至上述之定额捐款到期日或另行通知为止。(以两者中最早之日期为准。)
I/We hereby authorize Hong Kong Sheng Kung Hui Welfare Council Limited to charge my card account for the relevant amounts specified above. The Authorisation shall have effect until the given expiry date of regular donation or further notice. (whichever shall first occur.)

2. 在本人进行定额捐款期间,本人同意此授权书於本人之信用卡有效期后及获续发新卡时继续生效,并无须另行填写通知书。如须取消或更改本授权书,需於取消或更改生效日期最少7 个工作天前以书面通知香港圣公会福利协会有限公司。
I/We agree that this Authorisation shall have effect after the expiry date of the credit card and the issue of the replacement card, and no renewed Authorisation form will be required when the regular donation is effective. I/We agree that any written notice of cancellation or variation of this Authorisation shall be given at least 7 working days before such cancellation/variation is to take effect.
5. 成为会员 Member Registration

登入名为输入电邮 : 未输入电邮

5. 收集个人资料声明 Personal Information Collection Statement
      1. 香港圣公会福利协会有限公司(下称“福利协会”)将收集你的个人资料,作为处理有关网上捐款及/或慈善义卖的用途。福利协会可将你的个人资料,包括但不限於姓名、电话号码、电邮地址、邮寄地址等,向工作上有需要知道该等资料的福利协会职员、福利协会辖下相关部门及单位、及获福利协会委任的其他服务提供者(包括但不限於银行)等转移及/或披露。有关的个人资料将按《个人资料(私隐)条例》处理,不会以任何形式出售、租借或转让予任何人士或组织。
      Hong Kong Sheng Kung Hui Welfare Council Limited (“the Welfare Council”) will collect your personal data for processing your online donation and/or purchase orders for charity. The Welfare Council may, where applicable, transfer and/or disclose your personal data, including but not limited to name, telephone number, email address and mailing address on a need-to-know basis to the staffs, relevant units and/or centres of the Welfare Council, and other service providers (including but not limited to banks) who are appointed by the Welfare Council. The personal data will be handled in accordance with the Personal Data (Privacy) Ordinance, and will not be sold, rented or transferred in any form through any means to any other persons or entities.
      2. 提供个人资料予福利协会纯为自愿。你必须在注明(*)的栏目,提供所需的个人资料。若你未能提供足够个人资料,福利协会可能无法处理有关网上捐款及/或慈善义卖的订单。
      Provision of personal data is voluntary. Please note that it is mandatory for you to provide personal data marked with asterisks. In the event that you do not provide sufficient personal data, the Welfare Council may not be able to process your online donation and/or purchase orders.
      3. 你需确保所提供之资料为真确。遇有任何资料上之更改,你须尽快通知福利协会作有关更新。
      You have to ensure the accuracy of all the personal data supplied. Please notify the Welfare Council of any change of your personal data as soon as possible.
      4. 除《个人资料(私隐)条例》特定的豁免範围外,你有权申请查阅及/或改正福利协会所存有关你的个人资料。查询或提出申请可联络福利协会企业传讯及市场营销部 - 参与及伙伴组(地址:香港湾仔坚尼地道112号12楼;电邮地址:donation@skhwc.org.hk)。
      Save and except the exempted circumstances specified under the Personal Data (Privacy) Ordinance, you have the right to request access to and/or correction of your personal data held by the Welfare Council. For enquires or application, please contact our Corporate Communications and Marketing Department at “12/F, 112 Kennedy Road, Wan Chai, Hong Kong” or “donation@skhwc.org.hk”.
      5. 福利协会可能会使用你的个人资料与你保持联系、发送资讯及作服务推广及宣传、筹募、义工招募、意见收集和其他与福利协会有关活动之用途。
      The Welfare Council may utilize your personal data for communicating with you, delivering news and information, and for the purposes of service promotion, fundraising, volunteer recruitment, conducting surveys and other activities associated with the Welfare Council.
      6. 如欲要求福利协会停止使用你的个人资料作上述用途,可联络福利协会的企业传讯及市场营销部 - 参与及伙伴组。
      If you wish to request the Welfare Council to cease using your personal data for the above purpose, please contact our Corporate Communications and Marketing Department.
      7. 如欲查看福利协会的《私隐政策声明》,请按此
      Click HERE for our “Privacy Policy Statement”.
      请在於下栏加上‘✔’号。
      Please indicate by putting a tick '✔' in the box below:
#
# 必须在空格内加上「✔」
# please put a "✔" in the box

多谢! Thank you!

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