請連同支票 / 存款收據正本及此表格
Please sent this form together with the original bank receipt to the following address.

- 郵寄往 香港康山花園第六座地下香港馬凡氏綜合症協會
  By postal HK Marfan Syndrome Association, G/F, Block 6, Kornhill Gardens, Hong Kong.
- 電郵Email hkmarfan@gmail.com