Online Donation

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Donor ID: *
HKID: * (First 4 digits ONLY)
Prefix: *	Mr. Mrs. Ms. Miss Dr.
Gender: *	Male Female
Name: *	First Name Last Name
Company Name (if applicable):
Contact Tel No.:
Mobile No.: *
Fax:
E-mail	(Please provide an email address to receive an online acknowledgement of your donation)
Address: *	Home Office




Country:
Donation Information
Donation Type: *	General Donation Friends of Hong Kong Hereditary Breast Cancer Family Registry Donation Programme BRCA Ovarian Cancer Drug Programme TP53 Love Follows Assistance Programme Give A Gift Donation Donation to Pink Ball Pink Desserts 2020 x Pink Desserts Home Challenge
One-time Donation: * Monthly Donation: *	HK $
Receipt Required: *	Yes No
Name on Receipt:
Personal Information Collection Statement
The Registry may use your personal data as above to send you the most updated information related to our services, development and the appeal of donation campaigns through various channels such as direct mailing, email, telephone, SMS or fascimile, etc. All personal data will be kept strictly confidential and handled in accordance with applicable laws. If you do not wish to receive any the above mentioned materials, please tick the box.