Payment for 以銀聯卡捐款

Please enter information on this form to make payment for 以銀聯卡捐款 . The amount you need to pay is $10.00 .

First Name 名*

Last Name 姓*

Address 地址*

Phone 電話*

Email 電郵*

Additional Donation Amount 額外捐款金額

以銀聯卡捐款，請按下面"付款"按鈕跳轉到Paypal，然後按"使用信用咭付款"。再在地區一欄選"中國"，就可鍵入銀聯卡號。

如果你使用中國國內銀聯卡,請先向國內銀行開通國際支付跨境服務.

Receipt 收據

Yes: 需要收據抬頭 (只限英文) Please issue a tax deductible Receipt (only for donations over HK$100)

Name printed on Receipt 抬頭

Total Amount 總金額

Payment method 付款辦法

Paypal

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*

Verification code*