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People's Panel on West Kowloon

"A Dollar A Day" Campaign

--- Donation slip ---


Donor's Name: <% Dim strAddress straddress = request.Form("thename") if strAddress= "" then alret.write("You have to fill in your name") %>
Telephone:
Email:
Correspondence Address:

Amount of donation:

$30 $100    
$365 $400 $700  
Other : $

 

Please tick the appropriate box:

I would like to receive an email and a letter of receipt from PPWK .

I would like to receive a copy of "PPWK Information Digest" **
    CD version of "PPWK Information Digest" **

    ** If you have donated $700 or more, you may like choose either the Digest or its CD version. (Postage will be paid by PPWK)

 


Personal Information Collection

Information collected in this form will only be used for matters related to the PPWK. The concerned parties have rights to request access to and correction of their personal data. Such requests should be made to PPWK Project Assistant.


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Tel: 2766 3991    Fax: 2766 0189   Email: contact@ppwk.org