Response Form

(download response form in word file-English)

(download response form in word file-Chinese 中文回應表)

 

Poor Student Support

I am contributing $ _______ to support ________ senior high students in Yichang and Fengje for _____year, ______semester or __________month/s

(US $ 208/ C$ 200/ HK$ 1,600 supports one senior high school student for one year)

(US $ 104/ C$ 100/ HK$ 800 supports one student for one semester.

(US$ 21/ C$ 20/ HK$ 160 supports one student for one month.

 

I am contributing $________to support _____student for ______year or _______semester.

(US$ 650/ C$ 630/ HK$ 5,000 supports one university student for a year.)

(US$ 325/ C$ 315/ HK$ 2,500 supports one university student for one semester.)

 

Up grade School Facilities

I am contributing US $_______/C$_________/HK$__________ towards the project amount of US$ 65,000/ C$ 63,000/ HK$ 500,000

Medical Equipment and Financial Assistance for Needy Patients

I am contributing US$ _____/C$________/HK$______ towards the annual project amount totaling US$ 65,000/ C$ 63,000/ HK$ 500,000

 

Rural Water Supply and Community Development (Including repair and opening new roads)

I am contributing US$______/C$_______/HK$_______ towards the annual project amount of US$ 41 ,500/ C$ 40 ,000/ HK$ 320 ,000

 

Assist Needy People and Poverty Relief Projects

I am contributing US$______/C$_______/HK$_______ towards the project amount of US$ 26,000/

C$ 25,000/ HK$ 200,000

 

Mobile Clinics, and Health Education in Rural Areas

I am contributing US$_____/C$______/HK$________ towards the monthly operating expenses

US$ 4,150/ C$ 4,000/ HK$ 32,000

 

Support for Staff Salary and Ministry Fund:

I am contributing US$__________/C$_________/HK$________ towards monthly support in the amount of US$ 8,300/ C$ 8,000/ HK$ 64,000

 

Medicare General Expenses

I am contributing $_______ towards the general operation of Medicare Resources Ltd.

 

 

Name ________________________________ Date _________________________________

 

Correspondence Address _________________________________________________

 

Contributions should be sent along with this slip to:

America Canada Hong Kong

Evangelical Free Church of

America International Mission

901 East 78 th St .,

Minneapolis ,

Minnesota 55420-1300

Evangelical Free Church of

Canada Mission

Box850 Langley STN., LCD1

Langley , BC V3A 8S6

Canada

1105, Cheung Lee Com Bldg.,

25 Kimberley Road ,

Tsimshatsui,

Kowloon .

 

資助貧困學生

- 本人願意捐獻 $ ____________ 資助 名 宜昌 / 奉節貧困高中學生學費 ______ 月 / 年

( 每名高中生一個月學費需港幣 $160, 一學期 $800, 一年 $1,600)

- 本人願意捐獻 $_____________ 資助貧困大學生 ( 每位大學生每學期助學金為港幣 $2,500, 每年 $5,000)

 

改善學校設施

- 本人願意捐獻 $ ____________ 資助上述項目,總數需港幣 $500,000 。

 

醫療設備及病者援助

- 本人願意捐獻 $ ____________ 資助上述項目,總數需港幣 $500,000 。

 

農村水利工程及社區發展 ( 包括維修及開闢道路 )

- 本人願意捐獻 $ ____________ 資助上述項目,總數需港幣 $320,000 。

 

農村扶貧事工 及幫助有需要人士

- 本人願意捐獻 $ ____________ 資助農村貧困家庭,總數需港幣 $200,000 。

 

流動醫療車及農村、學校衛生教育

- 本人願意捐獻 $ ____________ 資助上述項目,總數需港幣 $32,000 。

 

君煌先生

- 本人願意捐獻 $____________ 資助 蘇君煌先生 之工資及工作經常開支,每月總數需港幣 $33,600 。

 

醫療關懷經常費

- 本人願意捐獻 $____________ 資助醫療關懷有限公司之經常開支。

 

 

姓名 ________________________ 先生 / 女士 聯絡電話 ________________________

 

地址 ____________________________________________________________________

 

日期_________________________電郵地址 ___________________________________

 

捐款辦法 ( 捐款可申請免稅 )

  • 支票付款 ( 支票抬頭請寫 醫療關懷有限公司 ”)
  • 轉賬 / 存款

可將捐款直接存入本會賬戶 ( 匯豐銀行 : 511-899080-001)

並將存款收據單連同回應表寄回或傳真至本會 (2369 9544)

請將支票 / 存款收據連同回應表寄往下列地址:

醫療關懷有限公司

香港九龍尖沙咀金巴利道 25

長利商業大廈 1105

3. 自動轉賬

本人樂意每月以自動轉賬方式作捐款,請把直接付款授權書寄給本人