Policy Giving Form

- Reply form to Oxfam Hong Kong -

Thank you very much for leaving a legacy gift to Oxfam Hong Kong. Your information will remain confidential and you are free to change your mind about your gift at any time.

(Please note: This reply form is only for our records and has no legal effect.)

Life Insurance Policy Giving

What percentage of the insured amount of your life policy would you like to donate to Oxfam Hong Kong?

Name of Insurance Company

Policy Number

Agent's Name

Agent's Registered No.

Personal Information

English Name*

Last Name *

First Name *

Chinese Name

Title*

Mr.

Ms.

Miss.

Contact Number*

Email*

Please provide a valid email address. Confirmation and donation e-receipt (if applicable) will be sent to this email

Address

Donor Number

I understand that my personal data will be collected and used in accordance with Oxfam Hong Kong’s Privacy Policy, including the protection of the security, integrity, and confidentiality of the personal data, available at https://www.oxfam.org.hk/en/privacy-and-security .#

#Remark

Oxfam Hong Kong may use your name and contact details (including email address, mailing address, and telephone number) to share information about our poverty alleviation work, advocacy campaigns, educational materials, and related charitable activities, including donations, fundraising events and projects that support our mission for direct marketing purposes. Please refer to the Privacy Policy for more details.

Agree

Disagree (Please choose at least one option below)

I do not wish to be contacted via the follow communication channels

Post

Phone

Please fill out all fields marked with an asterisk (*).

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