St. James' Settlement

Donation

Donate Method	Donate Method One-off Donation
Amount*	Amount 200 500 1000 1500 Others
Services*	Services
Other Services	other
Would you like to receive official receipt?	Would you like to receive official receipt?

Name (English)*	name
Title*	Title Mr. Miss. Ms.
Name (Chinese)	name
Company	org
Phone No.*	phone
Fax No.	fax
E-mail Address*	E-mail Address hasEmail Yes email hasEmail No, I did not have E-mail address
Address	Address
*Mandatory fields	*Please state the mailing address for receipting and refer to note

Your personal data will be kept strictly confidential.
We shall use your contact information for issuing receipts and fostering communications for the St. James' Settlement.
Any donation of HK$100 or above, receipts will be issued for tax deduction.
All credit card banks will levy service charge to St. James’ Settlement. Donors are not responsible for bearing any of the bank charges.
If you prefer not to receive any further mailings from the St. James' Settlement, please select the below box.
e-Publications Mailing publication
To acknowledge your kind donation, your name may appear in our Annual Report or other acknowledgement materials. If you prefer NOT to publish your name, please tick here.

I have read and agree to the declaration stated above.

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