| MMWA

Cheque Information

Issuing Bank

Cheque No.

Donation Amount

HK$3,000 HK$1,000 HK$500 HK$300 Others HK$

Is this a Gift Donation ?

Yes No

Nature of the Gift Donation

Birthday Wedding New Born Baby

Opening Ceremony Anniversary Condolence

Others (please specify)

I would like MMWA to send a gift certicate on my behalf to the person I designate below.

Message to Recipient

Recipient's Name

Content (Maximum 50 words)

Sender's Name

Recipient's Information

* Mandatory Fields

Title : Dr. Mr. Mrs. Ms. Miss Others

Surname *

Given Name *

Postal Address: *

Email Address *

(Please ensure recipient's email or postal address is provided)

Donor’s Information

* Mandatory Fields

Do you need a donation receipt? *

E-receipt Paper receipt No receipt

Type of Donation *

Individual Donation Corporate Donation

Title : Dr. Mr. Mrs. Ms. Miss Others

Donor's Name *

Phone No. *

Postal Address: *

Email Address *

Name on Receipt: (If different from donor’s name)

Title : Dr. Mr. Mrs. Ms. Miss Others

Surname

Given Name

Remarks:
1. Donations of HK$100 or above are tax deductible with a donation receipt.

2. Your personal data will be treated strictly confidential and will be used in processing the donation transaction, issuing of receipts and sending of fund-raising information. The personal data will be disclosed to staff member(s) of The Maryknoll Medical and Welfare Association Limited and the related bank(s) on a need-to-know basis.

3. If you require more information regarding the use of your personal data by our Association, please call 5615 0844 or email to admin@mmwa.org.hk for enquiry.

I do not wish to receive any information about or from The Maryknoll Medical and Welfare Association Limited.

THANK YOU for your donation.

Friendly Reminder

Please send the cheque to the postal address below.
(Please write down your name & phone number on the back of the cheque)

The Maryknoll Medical and Welfare Association Limited
c/o Our Lady of Maryknoll Hospital
Units 2505-6, Stelux House, 698 Prince Edward Road East, San Po Kong, Kowloon

Tel: (852) 5615 0844 WhatsApp: (852) 5615 0844 Fax: (852) 2321 5873 Email: admin@mmwa.org.hk

donation

By Cheque

Cheque Information

Donation Amount

Is this a Gift Donation ?

Nature of the Gift Donation

Message to Recipient

Recipient's Information

Donor’s Information

Do you need a donation receipt? *

Type of Donation *

Name on Receipt: (If different from donor’s name)

THANK YOU for your donation.

Friendly Reminder

Please send the cheque to the postal address below. (Please write down your name & phone number on the back of the cheque)

Please send the cheque to the postal address below.
(Please write down your name & phone number on the back of the cheque)