紀念品購買表格 Souvenir Purchase Form

HER Fund 婦女動力基金

紀念品購買表格 Souvenir Purchase Form
姓名 Name

名 First Name姓 Last Name
電郵 Email
example@example.com
聯絡電話 Phone Number
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「她敢於改變」套裝（T恤及帆布袋各一) "She Dares to Change" Set (incl. one T-shirt & one tote bag)$190.00HKD

QuantityT-Shirt

「她敢於改變」T恤 "She Dares to Change" T-Shirt$100.00HKD

QuantityT-Shirt
Item subtotal:$0.00HKD

「她敢於改變」帆布袋 "She Dares to Change" Tote Bag $100.00HKD

Quantity
Item subtotal:$0.00HKD

Total $0.00HKD
紀念品領取方法 Souvenir pick up method

HER Fund 辦公室自取 Pick up at HER Fund Office順豐到付 SF Express (Paid by receiver)
如選擇順豐到付，請填寫送貨地址/順豐站編號/順豐智能櫃編號 If SF Express, please fill in the delivery address / no. of SF store / cabinet
你需要免稅收據嗎？(只限捐款港幣＄100或以上） Do you need a tax-exemption receipt? （only applicable to donation amount of $100 or above)

YesNo
收據抬頭 Name on the receipt

First Name 名Last Name 名
我們將以電郵形式發送收據，請填寫電郵地址。We will send the receipt via email. Please fill in the email address.
example@example.com
本人同意婦女動力基金使用我提供的個人資料作上述推廣之用途。 I AGREE to the proposed use of my personal data for the above-mentioned promotion purposes.

YesNo
備註 Remarks

HER Fund 婦女動力基金