DRESS SPECIAL DAY 2010
Enrolment Form
YES, please enrol us for Dress Special Day 2010 to be held on Tuesday 28 September 2010 and provide the following materials for our internal promotion of the event:
  pcs of poster(s) 
   Soft copy of the poster 
Our School will not be able to join Dress Special Day on 28 September 2010, we will organise the event on Year 
 Month   Day   , and provide  posters for our internal promotion of the event.
( For schools only )
Our organisation/school will not be able to participate in this event, but we would like to support by making a donation of HK$  
 
     
(Please complete this form in ENGLISH)
 
1. Organisation/School Information
Name: ( Chinese ):
( English ):
Address:
Flat:     Floor:     Block:    
Building:    
Street:    
District:    
 Hong Kong  Kowloon  New Territories
Telephone: 
  Facsimile: 
 
2. Contact Person
Name: Last Name:
First Name:
 
Mr. Ms. Mrs.
Position:
Telephone:
  Fasimile: 
E-mail Address:
 
3. Other Information
No. of Employees/Staff/Students:  
Estimated No. of Participants:
*  Stickers will be distributed according to the estimated no. of participants.
Estimated Amount of Donation:  
 
Our organisation/school would like our donations to
 to be distributed by Chest to member agencies
 to be designated to one of the following services # 
 
 Children & Youth Services Community Development & Other Services  Elderly Services
 Family and Child Welfare Services  Medical & Health Services  Rehabilitation & Aftercare Services
 Other Services, please specify: 
# For detailed information of the social welfare services supported by the Chest, please visit our website.
 
4. A notice will be sent to your organisation/your school by email for the collection / delivery of Dress Special Day promotional materials.
Our organisation/school will collect the promotional materials from the Chest office.
(Address: Unit 1805, 18/F Harcourt House, 39 Gloucester Road, Wanchai, Hong Kong)
Please deliver the promotional materials to our organisation/school . (Delivery Service will be offered to those who enrol before 15 September 2010)
 
5. Information of Chief Executive / Principal / Representative
Same as contact person.
Mr. Ms. Mrs.
Name: Last Name:
First Name:
Position:
 
Remark:
Data collected will be used to keep you updated with the Community Chest's activities. If you do not wish to receive information on the Chest's future activities, please tick the box.