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PINK WALK FOR BREAST HEALTH 2019
27.10.2019 (Sunday)
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Donation
Thank you for your kind donation to support Pink Walk for Breast Health!
* Required fields
Donor Type
Donation Type
*
One-off giving
Monthly giving
Who you are
*
Personal
Corporate
Donor Information
Prefix
*
Prof.
Dr.
Mr.
Mrs.
Ms.
Miss
First Name
*
Last Name
*
Organisation Name
Tel / Mobile
*
Email
*
Address
#Please leave your postal address here if you need a donation receipt
Donation Amount
*
HK$2,800
HK$1,050
HK$280
HK$100
Other
HK$2,800 provides a diagnostic needle biopsy for a woman in need in the community
HK$1,050 contributes towards a mammogram for a woman in need in the community
HK$280 provides a Lymphoedema Index Measurement for one breast cancer patient in need
HK$100 provides one Comfort Kit for one newly diagnosed breast cancer patient
Name on Credit Card
Issue Receipt
*
Yes
No
Name on Receipt
Tax-deductible receipts will be issued to all donations of HK$100 or above. (IR File No.:91/7226)
Other Information
I would like to maintain communications with the HKBCF
Language Option
*
English
中文
Format
*
Printed form
Email
The personal data collected will be treated as strictly confidential and will be used only for receipting and other communication with you. If you would not like to receive any mailings from HKBCF, please tick the box.
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