We walk together with Elderly – Parent-Child Monthly Donation Program

All donations on behalf of children from this Campaign will be used for Care-on-Call Service and EasyHome® Service Charity Program, to support the needy elderly in the society using the services free-of-charge.

Please fill in the information in English * Required

Donation Options

Donation method

Monthly Payment

Donation by

Parent-Child Donation

Donation Amount

HK$198 to help a recipient use Safe Mobile® for free

HK$341 to help two-senior families use the "Care-on-Call Pel" and "Safe Mobile®" for free

HK$682 to help two-senior families use "Care-on-Call Pel" and "Safe Mobile®" for free

Other amount, please specify

Other Amount

Contact Person Information

Chinese Name

English Name*

Donor Code (if applicable)

Referral Sch. /Corp. /Org. (If applicable)

Contact Number*

Email Address (Must be filled in if need e-receipt)

Address

Children Information

Chinese Name

English name

Age

School

Receipt Arrangement

Receipt Arrangement*

To save administration cost, I do not need a receipt.

I need a receipt *To administration cost, annual receipt will be issued in April.

Name of the recipient

Credit Card's Information

VISA

Master Card

Credit Card Number*

Expiry Date (MM/YY)*

Name of Card Holder*

Credit Card Monthly Donations Considerations

I hereby authorize the Elderly Housing Services Association to periodically debit the above amount from my credit card account. This authorization will continue to take effect after the validity period of my credit card and after the issuance of a new card until further notice. If you need to cancel or change the content, please call 2952 7330 during office hours to notify the Fundraising Department of the Elderly Housing Services Association. The credit card payment date is the 16th of each month. (Holiday postponed)

Personal Data Collection Statement

The Elderly Housing Association (Association) complies with the requirements set out in the Personal Data (Privacy) Ordinance (Ordinance) to safeguard the interests of data subjects, including ensuring that personal data stored is accurate and properly stored. The Association will use your personal data (including your name, telephone, fax, email and mailing address) for the Association to send future newsletters and reports on fundraising activities, club information, issue receipts and to contact you about donations. You can ask the Association to stop using your personal data for the above purposes and to update your personal data at any time by calling 2952 7330.

I disagree Senior Citizens Housing Association to use of my personal data for the above purposes