I would like to support Po Yin to promote the opportunity for children in remote areas to receive education as below: (welcome to tick one or more item)

Name of Chinese:

Sex:

Name of English:

Tel: (Day)

(Night)

Pager / Mobile:

Address:

Email:

Donation HK$__________ (General donation)

"One to One Project" sponsoring primary school student.(HK$300 will help one primary school student for one school year)

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HK$ 300

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HK$ 600

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HK$ 900

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HK$

"Seedling Project" sponsoring secondary school Form 1-Form 3 student. (HK$600 will help one junior secondary school student for one school year)

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HK$ 600

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HK$ 1200

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HK$ 1800

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HK$

"Sapling Project" sponsoring secondary school Form 4-Form 6 students.(HK$1800 will help one senior secondary school or tertiary educational instition student for one school year).

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HK$ 900

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HK$ 1800

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HK$ 2700

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HK$

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Volunteer group member.

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on correspondence list

Name of the Bank: ____________________________________

Cheque No.: ________________________________________

Bank Credit Advice No.: __________________________________

(The Hongkong and Shanghai Bank - HSBC : 047-854245-838 )

Please make cheque payable to "HONG KONG PO YIN ASSOCIATION FOR THE DEVELOPMENT OF EDUCATION COMPANY LIMITED"

Signature:

Date:

Remarks:

1. Please do not mail cash.
2. Please send cheque / bank credit advice together with this donation form to Rm.5, 15/F., Yip Fung Ind. Bldg., No. 7, Sheung Hei St., San Po Kong, Kowloon
3. Information is kept personal confidential. Please keep us informed of any change in contact.