Download - 2011 Habitat Golf for Charity Tournament
Venue : The Clearwater Bay Golf &
Country Club
Date : August 26, 2011 (Friday)
Time : 12:00 to 20:00
Tee-off time : 13:30
Entry fee : Minimum $3,000 per player and
Minimum $12,000 per team (group of 4)
Format : Gross & Net (New New Peoria)
Quotas : 108 players (first come first serve)
Enrollment deadline : August 19, 2011
場地 : 清水灣鄉村俱樂部
日期 : 2011 年 8 月 26 日 (星期五)
時間 : 12:00 - 20:00
開球時間 : 13:30
最低籌款額 : 每位球員捐款港幣$3,000或
隊際 $12,000 (四人一組)
賽制 : 總桿及淨桿（新新貝利亞）
名額 : 108名 (名額有限，先到先得。)
截止日期 : 2011 年 8 月 19 日
Hole-in-One Prize Sponsor :
姓 氏Surname
名 字Given Name
稱 謂 Title
聯 絡 電 話 Contact No.
電 郵 Email Address
球 衣 尺 碼 Golf Shirt Size
1 Mr / Mrs / Ms
2 Mr / Mrs / Ms
3 Mr / Mrs / Ms
4 Mr / Mrs / Ms
2011 Habitat Golf for Charity Tournament
仁 人 家 園 慈 善 高 球 日 20112011年8月26日星期五 @ 香港清水灣鄉村俱樂部
26 August 2011, Friday @ Clearwater Bay Golf & Country Club
登記表格 Registration Form截止報名日期: 2011年8月19日 / Registration Deadline: 19 August 2011
個人參賽者 Individual Entry - HK$3,000 : □
隊際參賽者 Team of 4 Entry- HK$12,000 : □ 隊名 Team Name :
付款方法 Payment Methods :
( Payable to " Habitat for Humanity China Limited " )(支票抬頭請寫 " Habitat for Humanity China Limited ")
Cheque No: 支票號碼:* 支票 Cheque : □
* 銀行轉帳 Direct Bank-In / ATM Transfer: □ 「仁人家園」香港上海匯豐銀行戶口號碼：( HSBC a/c# 502-476591-002 )
* 信用咭 Credit card : VISA □ MasterCard □ American Express □
持卡人姓名 Cardholder's Name : __________________________________________________________________________________________
信用卡號碼 Card No. : __________________________________________________________________________________________________
有效日期 Expiry Date : ___________M __________Y (最少三個月內有效 Valid for the next three months)
持卡人簽署 Cardholder's Signature :
申請人簽署 Applicant's Signature : 日期 Date :
備注 Remarks :
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捐款將不設退款要求。如參賽者或嘉賓不能出席當日活動，可由其他親友代替。Donation is not refundable. If players or guests cannot attend the tournament, they are advised to have replacement by others.
個人資料絕對保密,並只供仁人家園內部用途。All personal data collected will be treated as strictly confidential and for Habitat's internal use only.
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請將支票連同此參加表格郵寄至香港中環德輔道中181號大新行17樓。Please send the cheque together with this entry form to us by mail to the address below:17/F., Sun House, 181 Des Voeux Road Central, Hong Kong
使用信用咭或銀行轉帳付款, 請將銀行存款收據連同此參加表格傳真至 2520 4020 或電郵至 [email protected] credit card and direct bank-in payment, please send this entry form with the bank-in slip to us by fax to 2520 4020 or by email to [email protected]
捐款將會獲發正式收據，憑收據於香港作申請稅務寬減。An official donation receipt will be issued for tax-deduction in HK.
聲明 Declaration : 各參加者須填寫此聲明 All applicants must sign this declaration
* 本人健康及體能良好，適宜參加上述活動。本人在參加活動時如有任何傷亡，仁人家園無需負責。I am healthy, physically fit, and suitable to participate in the above activity. Habitat for Humanity China will not be liable for any injury or death when I am taking part in this activity.
