捐款表格

捐款 表 关于同志近三年现实表现材料材料类招标技术评分表图表与交易pdf视力表打印pdf用图表说话 pdf 格 每月捐助港幣$100 , 一年可協助1.8間學校推行環境教育，讓孩子自小學習保護環境 , 一年可為學校製作10項環保教材 , 一年可讓逾1,000人次參與環保訓練課程 , 一年可讓超過100,000人次參與各類型環保活動 ? 按月自動轉帳捐款 ? HK$500 ? $300 ? $100 ? 其他$_____________ ? 一次過捐款 ? HK$500 ? $300 ? $100 ? 其他$_____________ , 按月自動轉帳捐款者可成為「綠色力量盟友」，獲贈＜香港賞蝶圖鑑＞及贈閱雙月刊＜綠田野＞。 , 按月捐款滿一年者，可獲「綠色力量盟友」證書，以表揚對本地環境工作的貢獻。 ? 請填妥自動轉帳授權書（只適用於按月捐款） ? 抬頭請寫「綠色力量」 ? 匯豐銀行042-0-048688（請連同存款收據正本寄回） ? ? *American Express ? Visa ? MasterCard *本會獲豁免手續費 信用咭號碼: ???????????????? 持咭人姓名: __________________________________________________________ 有效期至 Expiry date: ??月mm??yy年 (按月自動轉帳的捐款將於信用咭到期後自動延長) 持咭人簽名: __________________________________________________________ 捐款HK$100或以上者可獲發免稅收據。為減少消耗紙張，按月自動轉帳捐款者每年四月獲發免稅收據一次。 填妥表格後請寄回九龍尖沙咀亞士厘道34號天星大廈7樓A室或傳真 請盡量用英文正楷填寫 2314 2661。若以銀行自動轉帳捐款，。 姓名 (English) （中文） _____ 身份證/護照號碼.: 電郵: _____ 地址: ______ ______ 電話: （手提/傳呼） （住） （辦） 個人資料〈私隱〉條例：您的個人資料絕對保密。如不欲收到本會之宣傳品，請與本會聯絡。 地址 : 九龍尖沙咀亞士厘道34號天星大廈7樓A室 電話?Tel : (852)2314 2662 網址?Website: www.greenpower.org.hk Add. : Unit A, 7/F., Astoria Building, No. 34 Ashley Road, T.S.T., Kln 傳真?Fax : (852)2314 2661 電子郵件?E-mail: info@greenpower.org.hk Direct Debit Authorization Form 收款的一方(受益者) 銀行編號 分行編號 收款賬戶號碼 Name of Party to be Credited (The Beneficiary) Bank No. Branch No. Account no. to be credited 綠色力量 Green Power 004 042 087965001 Only originals are accepted. Any alteration requires signature. PLEASE PRINT IN BLOCK LETTERS 1. 本人（等）之姓名My / our full name(s) 姓Surname 名First name 聯絡電話號碼Contact telephone no. 2. 本人（等）之地址My / our full address 3. 銀行及分行名稱Bank name and Branch 4. 銀行編號 分行編號本人（等）之儲蓄 / 來往戶口編號 Bank no. Branch no. Savings / Current Account No. 5. 每次捐款Amount Per Transaction HK$ 6. 填表日期Date of completing form 7. 到期日Expiry Date 8. My / our signature(s)本人（等）之簽名 Sign your name as recorded on statement / passbook在月結單 / 存摺上所記錄之簽名 For Official Use Only 由綠色力量填寫For Green Power use 以下由銀行填寫For bank use 簽名式樣Signature verified 檔案編號Debtor’s reference I / We hereby authorise my / our above named Bank to effect transfers from my / our account to GREEN POWER in accordance with such instructions as my / our Bank may receive from GREEN POWER and / or its banker from time to time provided always that the amount of any one such transfer shall not exceed the limit indicated above. I / We agree that my / our Bank shall not be obliged to ascertain whether or not notice of any such transfer has been given to me / us. I / We jointly and severally accept full responsibility for any overdraft (or increase in existing overdraft) on my / our account which may arise as a result of any such transfer(s). I / We agree that should there be insufficient funds in my / our account to meet any transfer hereby authorised, my / our Bank shall be entitled, in its discretion, not to effect such transfer in which event the Bank may make the usual charge and that it may cancel this authorisation at any time on one week’s written notice. This authorisation shall have effect until further notice or until the expiry date written above (whichever shall first occur). I / We agree that any notice of cancellation or variation of this authorisation which I / We may give to my / our Bank shall be given at least two working days prior to the date on which such cancellation / variation is to take effect. If the amount of your payments are likely to vary each month, set the Limit for Monthly Payment at the maximum amount you would expect to pay at any one time. This Direct Debit Authorisation will be cancelled automatically on the date included in the box marked “Expiry Date”. If you wish the Direct Debit Authorisation to have effect indefinitely (or until cancelled by you) please leave box blank. Please ensure that you sign the form in the usual way that you would sign on your Bank Account. If “Limit for Each Month” is not specified, the debtor’s bank will set the limit as “unlimited”. 本人（等）現授權本人（等）的上述銀行，（根據綠色力量或其往來銀行不時給予本人（等）銀行的指示）自本人（等）的戶口內轉賬予綠色力量。惟每次轉賬金額不得超過以上指定的限額。本人（等）同意本人（等）的銀行毋須證實該等轉賬 通知 关于发布提成方案的通知关于xx通知关于成立公司筹建组的通知关于红头文件的使用公开通知关于计发全勤奖的通知 是否已交予本人（等）。如因該等轉賬而令本人（等）的戶口出現透支（或令現時的透支增加），本人（等）願共同及各別承擔全部責任。本人（等）同意如本人（等）的戶口並無足夠款項支付該等授權轉賬，本人（等）的銀行有權不予轉賬，且銀行可收取慣常的收費，並可隨時以一星期書面通知取消本授權書。本授權書將繼續生效直至另行通知為止或直至上述到期日為止（以兩者中最早的日期為準）。本人（等）同意，本人（等）取消或更改本授權書的任何通知，須於取消／更改生效日最少兩個工作天之前交予本人（等）的銀行。如台端付款的的數額每月可能不相同，則請將最高者定為每月付款的最高限額。本直接付款授權書將於「」一欄中所填寫的日期自動撒銷。如貴戶意欲直接付款授權書無限期有效（或直至貴戶予以撤銷為止），則請將該欄留空。請保證貴戶在此授權書內的簽名，與銀行戶口所簽者完全相同。如「」一欄未有填上，債務銀行會將轉賬限額設定為“不設上限”。 分享源源不断 地址 : 九龍尖沙咀亞士厘道34號天星大廈7樓A室 電話?Tel : (852)2314 2662 網址?Website: www.greenpower.org.hk Add. : Unit A, 7/F., Astoria Building, No. 34 Ashley Road, T.S.T., Kln 傳真?Fax : (852)2314 2661 電子郵件?E-mail: info@greenpower.org.hk 地址 : 九龍尖沙咀亞士厘道34號天星大廈7樓A室 電話?Tel : (852)2314 2662 網址?Website: www.greenpower.org.hk Add. : Unit A, 7/F., Astoria Building, No. 34 Ashley Road, T.S.T., Kln 傳真?Fax : (852)2314 2661 電子郵件?E-mail: info@greenpower.org.hk