APPLICATION FORM FOR LET’S PLAY FOR SIGHT! CONCERT IN AID OF RESTORING SIGHT, CHANGING LIVES August 23, 2014 (Saturday) 10:30am -­‐ 12:30pm or 3:30pm -­‐ 5:30pm (exact time to be confirmed) Recital Theatre, China Congregational Church 119 Leighton Road, Causeway Bay Name: _____________________________________________ Age: _____________________________________________ Instrument: _____________________________________________ Piece to be performed (title & composer): _____________________________________________ Duration: _____________________________________________ Name of Parent: _____________________________________________ Contact Tel No: _____________ Email: _______________________________________ I pledge to raise a minimum amount of HKD650 (the equivalent of surgery for one person) for taking part in this fundraising event. Please kindly return this form by mail to Ms Nicolette Wong c/o L Y Wong Associates Ltd, Room 4573, 45/F, The Lee Gardens, 33 Hysan Avenue, Causeway Bay, or by email to [email protected]. Please note that the postmark deadline is July 20, 2014. Admission is free but there will be a retiring collection. As seats are limited, please indicate number of people attending the session (including the participant): _____ Please bring the sponsorship form with you on the day along with the money collected. SPONSORSHIP FORM FOR LET’S PLAY FOR SIGHT! CONCERT IN AID OF RESTORING SIGHT, CHANGING LIVES Please kindly support me as I play to fundraise for the first and only eye surgical centre in the Republic of Congo. With your help, literally thousands of lives will be transformed! Thank you ☺ ___________________________ (name of performer) NAME AMOUNT CASH/CHEQUE DATE PAID (pls include cheque no.) TOTAL AMOUNT (THIS PAGE ONLY): Please kindly make cheques payable to “ALLIANCE GLOBAL SERVE LIMITED”. Name of Performer: _________________________________ NAME AMOUNT CASH/CHEQUE DATE PAID (pls include cheque no.) TOTAL AMOUNT (THIS PAGE ONLY): Please kindly make cheques payable to “ALLIANCE GLOBAL SERVE LIMITED”.