United Christian Nethersole Community Health Service (UCNCHS), a non-profit making organization, aims to help individuals achieve a high level of wellness and share our mission in “Leading a Healthy Life”. After more than 30 years of development, UCNCHS has pioneered a new model of urban primary health care service that integrates health promotion, education, prevention, curative care, rehabilitation and community support groups. Nowadays, health education is especially important as both infectious diseases and heavy pressure are threatening our health.

I would like to donate

□ Monthly                     □ One-off

□  HK$100       □HK$300      □HK$500      □HK$1,000       □others HK$____________

to support the following service/s of United Christian Nethersole Community Health Service

□  Health Education & Promotion Activities

□  Mental Health & Community Rehabilitation Services

□  Geriatric Health Maintenance Programme  

□  Adult Health Maintenance Programme

□  Other Services

Donation Methods (Please 3 appropriate box)

□   Crossed Cheque ( Payable to “United Christian Nethersole Community Health Service or “UCNCHS”)

□ Direct deposit to our account: 036-724-1-027868-8 (Bank of China) or 030-024301-003 (HSBC)

□ e-Donation to UCNCHS through the e-Banking service of Hang Seng Bank (www.hangseng.com/e-Banking)

□ e-Donation to UCNCHS through the e-Banking service of Bank of China (iT's Banking) (www. bochk.com)

□ Make cash donation via any 7-ELEVEN store in Hong Kong by bringing along the bar code printed below (minimum HK$100 per transaction. The cashier will issue a transaction record for you when the transaction is completed.)

Remarks：1. Please forward this form and crossed cheque or record of other donation methods (copy of bank pay-in-slip or 7-ELEVEN transaction record original copy) to United Christian Nethersole Community Health Service at 4/F Ng Wing Tong Block, United Christian Hospital,130 Hip Wo Street, Kwun Tong, Kowloon.

                2. Official receipt will be issued for donation of HK$100 or above for tax deduction purpose.

                3. Official receipt will be issued for e-donation of HK$100 or above (Hang Seng Bank or Bank of China) for tax deduction purpose,                     provided that e-donors have forwarded their donation records to UCNCHS.

Donor Information

Name/Company Name:

English: ____________________________(Mr./Ms.)

Chinese: ____________________________ 

Address：_______________________________________________________

Day Time Tel：__________________________________

E-mail Address：__________________________________

Thank you for your kind support!

* The above information will be used for promotion, fundraising and issuing donation receipt/s only. Please contact our staff at 2717-1989 if you do not wish to receive any mail from us.