Personal Information (Name on Receipt)

Salutation

Donor First Namerequired

Donor Surnamerequired

Email Addressrequired

Campus*

PFL Prep KLB Prep Senior School Others

Name on Receipt

Only if different from above

Donation put towards

Ann Mc Donald Fund K Squared

Donation amount (HK$)required

Payment Method

Free text area to record

Cheque number/ Reference / Transaction Number / Debenture Number

Donor Recognition*

Please tell us how you would like to be recognised for your donation

Donor Name and value range Donor Name, value not disclosed Name not disclosed (anonymous donation)

How would you like your name to appear in the Thank You Magazine?required

To read Kellett Foundation's Donor Bill of Rights, click here.

By clicking here you are accepting the Kellett Foundation's Donor Bill of Rights*

Yes

Add Company Matching Gift*

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If yes, provide company name and details

Thank you for supporting Kellett Foundation.

The information submitted on this form is being collected in accordance with the Kellett Foundation Policy for Data Privacy and its related Personal Information Statement ("PICS"). A copy of the PICS can be found on the Kellett School website (www.kellettschool.com).