Donation Amount

HK$ 5,000
HK$ 10,000
HK$ 15,000
HK$ 20,000
Other amount HK$ ______________
Children of the Mekong is a tax-exempt charity in Hong Kong
Yes, I require a donation receipt
No, I do not require a donation receipt

Donation Method
Cheque made payable to Children of the Mekong
Bank Draft: HSBC - Bank Code: 004 - Account number: 502-538382-001

Donor Information
Surname________________________________ First name ____________________________
Company ______________________________________________________________________
Address________________________________________________________________________
Telephone_____________________________ Mobile _________________________________
E-mail_________________________________________________________________________

Thank you for your generous support!

Children of the Mekong C6 Stanley Knoll, 42 Stanley Village Road, Stanley, Hong
Kong
email : edmhk@enfantsdumekong.com website : www.enfantsdumekong.com