Get Involved

I/We would like to help the Hear Talk Foundation accomplish its mission.

		I/We would like to donate
		___________	HK$5,000 - to pay for an otological operation in Mainland China
		___________	HK$3,000 - to train one teacher / technician for a school for deaf children in Mainland China
		___________	HK$2,000 – to provide a hearing aid for a deaf child in Mainland China
		___________	HK$500 – to produce educational pamphlets and/or leaflets for ten schools in Hong Kong/Mainland China
		Others:	HK$__________ - to support Hong Kong/Mainland China/Ear Care Education* (* Please indicate the type of service being supported.)
		All donations of HK$100 or more are tax deductible.
		I/We would like to become volunteer(s)
		I/We would like to arrange for a school workshop Name of School: ________________________________________

		Cheque (Please make cheque payable to “Hear Talk Foundation Ltd.” and forward it, together with this completed form to Hear Talk Foundation, c/o Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T., H.K.)
		Cash, by direct deposit into the following bank account (Please return this form, together with your deposit slip, to Hear Talk Foundation.)
		Name of Bank: HSBC Account Name: Hear Talk Foundation Limited Account No.: 083-481655-292

Surname: ___________________________ ( Mr / Ms / Others ____ )

First Name: ___________________________________________

Occupation:		Doctor		Audiologist		Speech Therapist		Educator
		Others___________________________________

Hong Kong Identity Card Number: __________________________

Address:	____________________________________________________________
	____________________________________________________________

Telephone Number: ______________________

Fax Number: ______________________

Mobile Number: ________________________

E-mail Address: ____________________________________