|
(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 。
蘇 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 號
長利商業大廈 1105 室
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
|