請填妥此表格並按「送出」鍵 Please fill in the form below and click "Submit" button to proceed.
(* 必須填寫 required fields)



捐款金額 Donation Amount

* 港幣HK$: $300 $500 $1,000 $5,000
  其他金額(多少無拘) Any amount will help: 港幣HK$

個人資料 Personal Details

稱謂 Title:
中文姓名 Chinese Name:
* 英文姓名 English Name: 姓Surname 名Given Names
* 日間聯絡電話 Day Time Tel:
香港身份證號碼 HKID Card No.: ( )
(只用作避免捐款者記錄重複 To avoid donor record duplication)
通訊地址 Postal Address:


(請儘量以英文填寫 Please complete in English)
捐款者號碼 Donor No.:
(曾捐款者適用 If applicable)
電郵地址 E-mail Address:
* 通訊語言選擇
Preferred language for
all communication:		 中文 Chinese 英文 English

捐款港幣100元或以上可憑收據在香港申請免稅。
Donations of HK$100 or above are tax deductible with a receipt in Hong Kong.

請寄回收據。(注意:若捐款人姓名或地址欠奉，恕不能發回收據。)
Please send me a receipt. (No receipt will be issued if either your name or address is not provided.)
為幫助節省行政開支，本人不需要收據。
To help save administration costs, please do not send me a receipt.

以上資料只會作為發收據及募捐用途。若閣下不希望繼續收取奧比斯信件，請來函通知。
The above information will be used for receipting and fundraising purposes only. Please notify us in writting if you do not wish to receive future mailings from ORBIS.