感謝您支持兒童糖尿協會20周年活動，請填寫以下表格，以完成登記手續。 如您尚未取得「兒童糖尿協會20周年活動贊助」詳情，請先電郵至 event@yda.org.hk 與我們聯絡。 Sponsorship and support for YDA's 20th anniversary 兒童糖尿協會20周年活動贊助 Sponsor Details 贊助人資料Title 稱謂*Mr 先生Ms 女士Mrs 太太Miss 小姐Not applicable 不適用Name/Company Name 姓名/公司*Contact No. 聯絡電話*Address 地址* Street Address Address Line 2 City State / Province / Region Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Email 電郵* Sponsorship Details 贊助詳情Donation Method 捐款方法*I would like to make the donation by 本人欲透過以下方式捐款：By credit card 信用卡By cheque 支票Prize sponsor 禮品贊助Sponsorship options 贊助項目*I / My company would like to support Youth Diabetes Action in improving the lives of children with diabetes 本人 / 本公司欲贊助以下項目，以改善糖尿病童生活： Sponsor an event 活動贊助 Advertisement sponsor in the 20th anniversary booklet 20周年特刊廣告贊助 Cash donation 捐款 Sponsor a child with diabetes for one year for HK$10,000 加入「助養兒童計劃」，年捐港幣一萬元 Sponsorship options 贊助項目*I / My company would like to support Youth Diabetes Action in improving the lives of children with diabetes 本人 / 本公司欲贊助以下項目，以改善糖尿病童生活： Sponsor an event 活動贊助 Advertisement sponsor in the 20th anniversary booklet 20周年特刊廣告贊助 Cash donation 捐款 Sponsor a child with diabetes for one year for HK$10,000 加入「助養兒童計劃」，年捐港幣一萬元 Sponsor an event 活動贊助Choose the event you want to sponsorCost to be Sponsor an event 活動贊助* Title Sponsorship (for all 20th Anniversary events and storybook) 冠名贊助（包括所有20周年活動及出版教育故事書） Spring Fling Anywhere 春日愛心樂悠悠 Summer Sports Carnival 夏日運動嘉年華 BlueTube Challenge BlueTube挑戰 True Blue Street Party 藍色街頭派對 Educational storybook 出版教育故事書 Others 其他 Sponsor an event 活動贊助* Title Sponsorship (for all 20th Anniversary events and storybook) 冠名贊助（包括所有20周年活動及出版教育故事書） HK$500,000 Spring Fling Anywhere 春日愛心樂悠悠 HK$200,000 Summer Sports Carnival 夏日運動嘉年華 HK$150,000 BlueTube Challenge BlueTube挑戰 HK$100,000 True Blue Street Party 藍色街頭派對 HK$250,000 Educational storybook 出版教育故事書 HK$200,000 Others 其他 Please let us what event(s) you are sponsoring. 請填上你贊助的活動。Please let us know how much you would like to sponsor. 請填上贊助金額。* Please let us know how much you would like to sponsor. 請填上贊助金額。 Prize sponsor 禮品贊助Prizes 禮品*Prizes (minimum value HK$1,000) 禮品（面值最低為港幣一千元）Estimated value (HK$) 總值約（港幣）*Estimated value (HK$) 總值約（港幣）Quantity 數量*Quantity 數量Details 詳情Details 詳情Advertisement sponsor 廣告贊助Advertisement sponsor in the 20th anniversary booklet 20周年特刊廣告贊助Full-page 4-colour ad 全版彩色廣告* Price: HK$6,000.00 Quantity: Half-page 4-colour ad 半版彩色廣告* Price: HK$4,000.00 Quantity: Advertisement sponsor in the 20th anniversary booklet*HK$6,000 for full-page 4-colour ad 全版彩色廣告HK$4,000 for half-page 4-colour ad 半版彩色廣告Cash donation 捐款Donation amount 捐款金額*HK$10,000HK$5000OtherOther donation amount 其他捐款金額* Donation amount 捐款金額*HK$10,000HK$5,000Sponsor a child with diabetes for one year for HK$10,000 助養兒童計劃年捐港幣一萬元The Sponsor a Child Programme provides support for one financially needy YDA member with diabetes and their family. The donation covers blood testing monitors, blood testing strips, syringes, and other essential healthcare items. It also directly supports YDA’s various educational programmes for children and adolescents with diabetes. 助養兒童計劃為有經濟困難的會員及其家庭提供經濟援助，捐款可支持１位孩子獲得必需的醫療用品，包括：血糖試紙、採血針及針頭等，並可贊助他們參與各項會員活動。Sponsor a child for a year 助養兒童計劃年捐 Price: HK$10,000.00 Sponsor a child for a year 助養兒童計劃年捐Sponsor a child for a year 助養兒童計劃年捐HK$10,000Cheque Details 支票捐款詳情By crossed cheque made payable to "Youth Diabetes Action". Please send the cheque to: B17, 9/F, Block B, Merit Industrial Centre, 94 To Kwa Wan Road, Kowloon 劃線支票抬頭請寫「兒童糖尿協會」，並寄至：九龍土瓜灣道94號美華工業中心B座9樓B17室Overall total (HK$) 總額（港幣）*Overall total (HK$) 總額（港幣）Cheque no. 支票號碼*Cheque no. 支票號碼Issuing bank 出票銀行*Issuing bank 出票銀行Overall Total 總額Total HK$0.00
