Personal Information (Name on Receipt)

Salutation

Donor First Name*

Donor Surname*

Email Address*

Campus*

PFL Prep KLB Prep Senior School Others

Name on Receipt

Only if different from above

Donation amount (HK$)*

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 Donor Name Only Anonymous

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

Add Company Matching Gift*

Yes No

If yes, provide company name and details

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

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

Yes

Thank you for supporting Kellett School.

The information submitted on this form is being collected in accordance with the Kellett School 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).

Please send a confirmation email to the address below*:

Please provide an email address where we can send a link to your current form.

Email Address :