報名表格
Enrolment Form
參與方式 Participation
本機構 / 本校將
參加
二零二一年十月二十八日（星期四）舉行的「公益金便服日」，請提供以下物資作宣傳：
YES, please
enrol
us for Dress Casual Day 2021 to be held on Thursday, 28 October 2021, and provide the following materials for our internal promotion of the event:
海報 Poster
張pc(s)
電子版海報 e-poster
(此欄只適用於學校填寫 For schools only)
本校
未能
於二零二一年十月二十八日舉行「公益金便服日」，但將
另定日期
舉行此活動。
Our school will
not be able to join
Dress Casual Day on 28 October 2021, we will organise the event on another day.
另定活動日期於 We will organise the event on
dd
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
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28
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31
mm
1
2
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yyyy
2021
2022
請提供海報以供宣傳 Please provide posters for our internal promotion of the event
海報 Poster
張pc(s)
電子版海報 e-poster
本機構 / 本校
未能
參加「公益金便服日」，但願意捐款以作響應。
Our organisation / school will
not be able
to participate in this event, but we would like to support by making a donation.
捐款金額(港幣) Donation Amount(HK$)
機構 / 學校名稱
Organisation / School Name
地址 Address (請以英文填寫 Please complete this form in ENGLISH)
香 港 Hong Kong
九 龍 Kowloon
新 界 New Territories
活動聯絡人 Event Coordinator (請以英文填寫 Please complete this form in ENGLISH)
博士 Dr
先生 Mr
女士 Mrs
小姐 Ms
機構負責人 / 校長資料
Information of Person-in-charge / Principal
與活動聯絡人資料相同 Same as Event Coordinator
博士 Dr
先生 Mr
女士 Mrs
小姐 Ms
其他資料 Other Information
*
活動標貼將按估計參加人數派發
*
Stickers will be distributed according to the estimated no. of participants.
本機構 / 本校希望將善款撥捐
Our organisation / school would like our donations
由公益金自行分配予會員機構 to be distributed by Chest to member agencies
撥捐以下
一項
服務
#
to be designated to
one
of the following services
#
兒童及青年服務 Children & Youth Services
社區發展及其他服務 Community Development & Other Services
安老服務 Elderly Services
家庭及兒童福利服務 Family and Child Welfare Services
醫療及保健服務 Medical & Health Services
復康及善導服務 Rehabilitation & Aftercare Services
其他服務 Other Services
#
有關公益金資助之社會福利服務詳情，可瀏覽
公益金網頁
。
#
For detailed information of the social welfare services supported by the Chest, please visit our
website
.
公益金將以電郵通知 貴機構 / 學校有關領取 / 送遞公益金便服日宣傳物資之安排。
A notice will be sent to your organisation / school by email for the collection / delivery of Dress Casual Day promotional materials.
本機構 / 本校將派員到公益金辦事處領取公益金便服日宣傳物資。(地址：香港灣仔告士打道39號夏慤大廈18樓1805室)
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)
請將宣傳物資送抵本機構 / 本校。(只適用於二零二一年十月十五日或之前報名之機構 / 學校）
Please deliver the promotional materials to our organisation / school. (Delivery Service will be offered to those who enrol on or before 15 October 2021)
備註 Remarks
公益金將會用上述資料與 貴機構 / 團體保持聯絡，定期介紹公益金的各項籌款活動、宣傳及推廣事宜、定期通訊、義工服務、意見收集、鳴謝及發出捐款收據之用。如 貴機構 / 團體不願意繼續收到公益金的活動資料，請於方格內加上✓號。
Data collected will be used to keep your Company / Organisation updated with The Community Chest's fund-raising events, marketing & promotional activities, newsletters, volunteer services, surveys to collect donor opinions, donor acknowledgement and receipt issuance. If your Company / Organisation does not wish to receive information on the Chest's future activities, please tick the box.
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