報名表格
Enrolment Form
參與方式 Participation
本機構/本校將
參加
二零一七年十月十二日（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 2017 to be held on Thursday, 12 October 2017, and provide the following materials for our internal promotion of the event:
海報 No. of poster(s)
張pc(s)
電子版海報 Soft copy of the poster
(此欄只通用於學校填寫 For schools only)
本校
未能
於二零一七年十月十二日舉行「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 12 October 2017, we will organise the event on another day.
另定舉行此活動於 We will organise the event on
dd
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2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
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25
26
27
28
29
30
31
mm
1
2
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yyyy
2017
2018
請提供海報以供宣傳 Provide posters for our internal promotion of the event
海報 No. of poster(s)
張pc(s)
電子版海報 Soft copy of the 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.
捐款數目 We would like to support by making a donation of 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
聯絡人 Contact Person (請以英文填寫 Please complete this form in ENGLISH)
先生 Mr
小姐 Ms
女士 Mrs
其他資料 Other Information
*
紀念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
# 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/貴校有關領取/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。(只適用於二零一七年九月二十七日前報名之機構/學校）
Please deliver the promotional materials to our organisation/school. (Delivery Service will be offered to those who enrol before 27 September 2017)
機構負責人/校長資料
Information of Chief Executive/Principal
與聯絡人資料相同 Same as contact person
先生 Mr
小姐 Ms
女士 Mrs
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.
請按下選擇框並輸入驗証碼
Please click the checkbox and type the text
遞交 Submit