Online Donation (Credit Cards Only)
About Breakthrough
€€€åª©
( Master or Visa Card only)
1. Donation Information
*
Amount :
HKD
USD
100
300
500
1000
Other
*
Donation to Service :
General Donation
Salary Support
Liberal Studies Ministry
Interpersonal Ministry
Media Ministry
- Fundraising Activity -
¡DFlag Day
¡DInner Challenge
2. Donor Information
Mr.
Ms.
Mrs.
*
First Name :
*
Last Name :
Membership Number :
Breakthrough Square :
Breakthrough Serve Club :
Donor No. : EA-
(If you belong to one of the above mentioned membership, you need not fill in the information below)
Date of Birth :
DD
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
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MM
01
02
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Contact Daytime Tel :
(
) -
Email :
Correspondence Address :
3. Receipt Information
Name / Organization :
(If different from above)
Receipt Address :
(If different from above)
Hong Kong tax deductible receipt will be issued for donation of HK$100 or above
4. Others
Donated before :
Yes
No
I would like to receive news from Breakthrough : Yes (
email
printed)
No
* Required
All data is for research, development, promotion and record usage only. For any inquiries, checking or changes of personal data, please inform us by written to External Affairs Unit.
Enquiry : Ms. Wong at (852) 2632-0331
