Section 1 of 11
定期捐贈表格 Regular Donation Form
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中文
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English
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Section 2 of 11
個人資料
姓名
姓名
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地址
地址
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聯絡電話
聯絡電話
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Section 3 of 11
定期捐贈細節
本人欲定期捐贈護持華藏寺活動中心的建設。
本人欲定期捐贈護持華藏寺活動中心的建設。
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若您选择”其他“(Other)，请注明細節。
50 澳幣
100 澳幣
200 澳幣
500 澳幣
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頻率
頻率
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若您选择”其他“(Other)，请注明細節。
每周
每兩周
每個月
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期限是從 ________ 月__________年 至 ________ 月__________年
期限是從 ________ 月__________年 至 ________ 月__________年
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捐款方式
捐款方式
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我將把捐款轉賬到華藏寺戶口。
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我將把捐款以現金或支票交到華藏寺。
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Section 4 of 11
華藏寺戶口
戶口名稱： Hwa Tsang Monastery
戶口名稱： Hwa Tsang Monastery
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銀行分行號碼： 032 024
銀行分行號碼： 032 024
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戶口號碼： 931 914
戶口號碼： 931 914
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請註明您的全名及用途： 全名-HTMCF
請註明您的全名及用途： 全名-HTMCF
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我知道了。
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請注意此捐贈不是直接扣款，您必須自行安排轉賬。
請注意此捐贈不是直接扣款，您必須自行安排轉賬。
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Section 5 of 11
收據
收據上請寫此名字
收據上請寫此名字
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請注意此捐贈不能抵稅。
請注意此捐贈不能抵稅。
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我知道了。
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若活動中心工程無法啟動, 請將捐贈轉予
若活動中心工程無法啟動, 請將捐贈轉予
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華藏寺(供養常住)
本人
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Section 6 of 11
捐贈者簽名
捐贈者簽名
捐贈者簽名
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請寫捐贈者的全名，我們將視這為簽名。
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日期
日期
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Section 7 of 11
Personal Details
Name
Name
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Address
Address
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Contact Number
Contact Number
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Section 8 of 11
Regular Donation Details
I wish to make a regular donation to support the building of HTM Community Facilities.
I wish to make a regular donation to support the building of HTM Community Facilities.
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AUD 50
AUD 100
AUD 200
AUD 500
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Frequency
Frequency
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Weekly
Fortnightly
Monthly
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Period from _________________(mm/yy) to _________________ (mm/yy)
Period from _________________(mm/yy) to _________________ (mm/yy)
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Method of Donation
Method of Donation
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I will transfer the donation to Hwa Tsang Monastery's Bank Account
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I will give the donation in cash/cheque at Hwa Tsang Monastery
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Section 9 of 11
Hwa Tsang Monastery Banking Details
Account Name: Hwa Tsang Monastery
Account Name: Hwa Tsang Monastery
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BSB: 032 024
BSB: 032 024
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Account No: 931 914
Account No: 931 914
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Please include the following reference: Your Full Name – HTMCF
Please include the following reference: Your Full Name – HTMCF
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Please note that this is not Direct Debit and you will have to arrange the transfers from your bank.
Please note that this is not Direct Debit and you will have to arrange the transfers from your bank.
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Section 10 of 11
Receipt
Please issue the receipt under the name of
Please issue the receipt under the name of
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Please note that the donation for the building of HTM Community Facilities is non tax deductible.
Please note that the donation for the building of HTM Community Facilities is non tax deductible.
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Should the project fail to commence, I would like my donations to be
Should the project fail to commence, I would like my donations to be
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Donated to Hwa Tsang Monastery
Returned to myself
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Section 11 of 11
Signature
Donor's Signature
Donor's Signature
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Please print your full name. We will treat this as an actual signature.
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Date
Date
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