Hong Kong Red Cross Flag Day 2012 25th July, 2012 (Wednesday) Group Volunteer Enrolment Form Please reply by 6th July, 2012 (Friday) via fax to 2802 0017 or by mail to Hong Kong Red Cross, 7/F, Chung Nam Building, 1 Lockhart Road, Wan Chai, HK (Attn.: Miss Tam) 【Section A】Information of Group/Organization/School 1. Group Name: (Chinese) 2. Group Name: (English) 3. Group/Donor ID(if available): 4. Address: 5. Contact Person: 6. Job Title: Mr/Ms/Miss 7. Tel: 8. Fax: 9. Email: 10. Group/Organization/School Chop: 【Section B】Flag Day Participation Preference(Please add “”to appropriate boxes “□”) □ We will join the Flag Day of your Agency on 25th July, 2012. Estimated Number of Volunteers: (Please fill in Section C - “Volunteer Information”) Preferred Location of Flag Selling (Depot Code): (Please refer to “Depot List”) (Example: Please fill in HA as the depot code for choosing BEA Sheung Wan Branch) We will assign flag selling location according to your preference and make adjustments if necessary. □ We are not able to join the Flag Day of your Agency on 25th July, 2012 but will support by donating HK$ by cheque. (Please mail cheque payable to“Hong Kong Red Cross”together with this form to Hong Kong Red Cross Headquarters, 33 Harcourt Road, HK) □ Sorry, we are not able to join the Flag Day of your Agency on 25th July, 2012. 【Section C】Information of Flag Day Volunteers(Please photocopy this form if blanks are not adequate) C. Volunteer Referal Record B. Parent/Guardian Information A. Volunteer Information (Volunteers aged below 14 must fill in Column B) (Parent/Guardian must accompany volunteers aged below 14 during flag selling) Serial No. Name e.g. e.g. 01 Amy Kwan Cherry Sung Age 13 15 Contact Number 98765432 65439876 Membership Code Name (if available) 712345 / Annie Cheung / Contact Number 67891234 / (For calculation of souvenirs, volunteer referred must fill in info in Column A (Volunteer Information) and Column B (Parent/Guardian Information) Relationship No. of with Volunteers Volunteer Invited Mother / 1 / Name of Volunteer Referred (Should be non HKRC member / volunteer) Cherry Sung / 02 03 04 05 06 07 08 09 10 * Your enrolment will be proceeded within 5 working days upon receiving the enrolment form. ** We shall use your personal data for fostering communications, raising funds and conducting surveys for the Hong Kong Red Cross. We may furnish your data on a strictly confidential basis to third parties who provide service to us in relation thereto. Fld2012-G-W “Hong Kong Red Cross Flag Day 2012” Depot List (updated as of 6/6/2012) Code District 18 Districts HA HK Central Western HB HK HC District Council HKRC Districts Bank Central (A01) HK01 BEA Central Western Central (A01) HK01 HK Central Western Belcher (A09) HD HK Central Western HE HK HF Branch Address Sheung Wan Branch G/F, Sun House, 181 Des Voeux Road Central, Central HSBC Des Voeux Road Central Branch China Insurance Group Building, 141 Des Voeux Road Central, Central HK01 HSBC The Westwood Branch LG01-3, Lower Ground Floor, The Westwood, 8 Belcher’s Street Mid Levels East (A02) HK01 HSBC Hong Kong Office, Cash HKH BL1, 1 Queen’s Road Central, Central Eastern City Garden (C19) HK02 HSBC North Point Branch 306-316, King’s Road, North Point HK Eastern Tsui Tak (C35) HK02 BEA Chai Wan Branch 345 Chai Wan Road HG HK Eastern Lower Yiu Tung (C31) HK02 BEA Shaukiwan Branch G/F, Ka Fook Building, 289-293 Shau Kei Wan Road HH HK Eastern Kornhill (C28) HK02 BEA Quarry Bay Branch Shop G2-G4, G/F, Fok Cheong Building, 1032-1044 King's Road, Quarry Bay HI HK Southern Aberdeen (D01) HK03 BEA Aberdeen Branch 162-164 Aberdeen Main Road HJ HK Southern Aberdeen (D01) HK03 HSBC Aberdeen Centre Branch Shop 2, G/F, Aberdeen Centre, Site 1 HK HK Wan Chai Causeway Bay (B04) HK04 BEA Causeway Bay Branch 46 Yee Wo Street, Causeway Bay HL HK Wan Chai Canal Road (B03) HK04 BEA 399 Hennessy Road Branch G/F, Eastern Commercial Centre, 399 Hennessy Road, Wanchai HM HK Wan Chai Tai Fat Hau (B11) HK04 HSBC Hay Wah Building Branch Hay Wah Building, 71-85B Hennessy Road, Wanchai KA KLN Kowloon City Kadoorie (G07) KL01 BEA Waterloo Road Branch Shop A, G/F, Richland House, 77B & 77C Waterloo Road, Homantin KB KLN Kowloon City Kai Tak (G11) KL01 BEA Pau Chung Street Branch Shop D, 154 -160 Pau Chung Street, Tokwawan KC KLN Kwun Tong Kwun Tong (J01) KL02 HSBC Kwun Tong Branch 1 Yue Man Square, Kwun Tong KD KLN Kwun Tong Kowloon Bay (J02) KL02 BEA Telford Plaza Branch Shop F12B, Level 1, Telford Plaza I, Kowloon Bay KE KLN Kwun Tong Kwun Tong (J01) KL02 BEA Hoi Yuen Road Branch Unit 1, G/F, Hewlett Centre, 54 Hoi Yuen Road, Kwun Tong KF KLN Sham Shui Po Lai Chi Kok North (F15) KL03 BEA Castle Peak Road Branch Shop 1, G/F, One Madison, 305 Castle Peak Road, Cheung Sha Wan KG KLN Sham Shui Po Mei Foo South (F12) KL03 HSBC Mei Foo Sun Chuen Branch 79 Broadway, Stage 4, Mei Foo Sun Chuen KH KLN Yau Tsim Mong Tsim Sha Tsui East (E17) KL04 HSBC Tsim Sha Tsui Branch 82-84 Nathan Road, Tsim Sha Tsui KI KLN Yau Tsim Mong Mongkok West (E06) KL04 HSBC Mongkok Branch 673 Nathan Road, Mongkok KJ KLN Yau Tsim Mong Mongkok South (E15) KL04 BEA Mongkok North Branch G/F, Kalok Building, 720 - 722 Nathan Road, Mongkok KL KLN Wong Tai Sin Lung Tsui (H01) KL05 BEA Wong Tai Sin Branch Shop UG15, Upper Ground Floor, Wong Tai Sin Plaza NA NT Kwai Tsing Wai Ying (S20) NT01 BEA Maritime Square Branch Shop 308A-C, 3/F, Maritime Square, 33 Tsing King Road, Tsing Yi NB NT Kwai Tsing Hing Fong (S16) NT01 HSBC Kwai Hing Branch Shop 2, 3/F, Sun Kwai Hing Plaza, 166-174 Hing Fong Road, Kwai Chung NC NT North Shek Wu Hui (N12) NT02 BEA Sheung Shui Branch Shop 1015-19, L1, Sheung Shui Centre Shopping Arcade, 3 Chi Cheong Road ND NT Sai Kung O Tong (Q10) NT03 BEA Park Central Branch Shop G6, G/F, Park Central, 9 Tong Tak Street, Tseung Kwan O NE NT Sai Kung Wan Hang (Q17) NT03 BEA Metro City Plaza Branch Shop 243, Level 2, Metro City Plaza I, 1 Wan Hang Road, Tseung Kwan O NF NT Sha Tin Sha Tin Town Centre (R01) NT04 BEA Shatin Plaza Branch Shop 3 - 4, Level 1, Shatin Plaza NG NT Sha Tin Ma On Shan Town Centre (R25) NT04 BEA Ma On Shan Plaza Branch Shop 318-322, Level 3, Ma On Shan Plaza, 608 Sai Sha Road, Ma On Shan NH NT Sha Tin City One (R04) NT04 HSBC Shatin City One Branch 15-21, G/F, Fortune City One Plus, City One, Sha Tin NI NT Tai Po Tai Po Hui (P01) NT05 HSBC Tai Po Branch 54-62 Kwong Fuk Road, Tai Po NJ NT Tai Po Tai Po Centre (P02) NT05 BEA Tai Po Plaza Branch Unit 49-52, Level 1, Tai Po Plaza NK NT Tsuen Wan Tak Wah (K01) NT06 BEA Tsuen Wan Branch 239-243 Sha Tsui Road, Tuen Wan NL NT Tuen Mun Tuen Mun Town Centre (L01) NT07 BEA Tuen Mun Branch Shop G16, G/F, Eldo Court Shopping Centre, 112-114 Heung Sze Wui Road, Tuen Mun NM NT Tuen Mun Tuen Mun Town Centre (L01) NT07 HSBC Tuen Shing Street Branch Shop No. 1225, 1/F, Tuen Mun Town Plaza, Phase 1, 1 Tuen Shing Street, Tuen Mun NN NT Yuen Long Kingswood South (M25) NT08 BEA Tin Shui Wai Branch Shop 128, 1/F, Phase 2, Kingswood Ginza,12-18 Tin Yan Road, Tin Shui Wai NO NT Yuen Long Fung Nin (M01) NT08 HSBC Yuen Long Branch HSBC Building Yuen Long, 150-160 Castle Peak Road, Yuen Long * We will assign flag selling location according to your preference and make adjustments if necessary. Thank you very much for your kind consideration.