DONATION FORM
Donor’s Particulars Please tick and complete the donation form.
Full Name (Mr/Ms/Dr)
Organisation/Lions Club of Singapore NRIC/FIN/UEN* Email Mailing Address
Mobile
* Required for tax deduction purpose. All outright donations of $50 and above are eligible for 2.5 times tax deduction.
Please DO NOT enclose cash. By providing the information, I/we agree and give consent to the Lions Home For The Elders, as well as its representatives and agents (collectively “LHE”), to collect and use my/our personal data, as well as from time to time, disclose such personal data to LHE’s authorised service providers, and relevant third parties for purposes reasonably required by LHE to process my/our donation to LHE. Such purposes are set out in the Data Protection Policy (www.lionshome.org.sg/data-protection-policy), which I/we confirm I/we have read and understood.
Monthly Donation
One-time Donation
$50
$100
$300
$500
Other Amount
Donate by Debit/Credit Card (Visa/MasterCard)
Card Holder’s Name
/
/
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Card No.
Expiry Date (MM/YY)
Donate by Cheque
Cheque to be crossed and made payable to ‘Lions Home For The Elders’.
Bank Name
Cheque No.
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