我們致力推廣營養研究、公眾教育和治療，而您每一分的捐款
也會用作支持研究和推廣營養健康教育之用。
We promote nutrition in aspects of research, public education and therapy with our utmost effort. The entire donation received will be used as funding for research and education on nutrition and health.
我願意捐助港幣___________元以作營養研究和教育之用。
I am willing to donate HK$_____________ as funding for nutritional research and education.
捐款人資料    Donor's Information:
姓名: (中文)
Name (Chinese): ______________

聯絡電話:
Contact no.: ________________

 (英文)
Name (English): __________________________

電郵:
Email address: ___________________________
地址:
Address:

_______________________________________________________

_______________________________________________________
註：捐款港幣壹佰元或以上，可憑收據申請稅項豁免。
Note: For donations more than or equal to HK$100, tax can be exempted by providing the receipt.

多謝您捐助香港中文大學，支票抬頭請填寫[香港中文大學]，並連同此表格寄回香港沙田威爾斯親王醫院中文大學深造中心3樓305室。如有任何查詢，歡迎致電 2252-8831 。
Thank you very much for your donation to the Chinese University of Hong Kong. Please kindly make your checks payable to "The Chinese University of Hong Kong" and mail it to "Room 305, 3/F., Postgraduate Education Centre, Prince of Wales Hospital, Shatin" together with this donation form. Please contact us at 2252-8831 for enquiry.

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