香港復康力量
捐款回條

我/本公司支持你們的服務，我/我們的捐款是港幣$
I / We support your service, my / our donation is HK$________________

支票號碼 Cheque No﹕_______________________________________
或銀行過數 Direct Debit

(請將捐款直接存入本會「恆生銀行」戶口號碼﹕259-5-064912)

姓名 Name﹕ ________________________________________________________

地址 Address﹕_______________________________________________________

_____________________________________________________________________

電話 Tel﹕___________________________________________________________

請以劃線支票抬頭「香港復康力量」或銀行存款單，連同此捐款回條寄回本會。
地址﹕尖沙咀柯士甸道西1號漾日居1樓102室
電話﹕34717000
傳真﹕34717333
*捐款超過港幣一佰元可獲本會發出免稅收據。

Please make a crossed cheque payable to “Hong Kong Rehabilitation Power.” And mail the cheque or bank-in slip with this return slip to us.

Address: Unit 102, 1st Floor, The Waterfront, 1 Austin Road West, Tsim Sha Tsui, Kowloon, Hong Kong

Tel: 34717000
Fax: 34717333

*For donation more than $100, a tax deductible donation receipt will issued.