Contact Person Name (required)

Email (required)

Phone Number (required)

Service Venue Type (required)
HomeOfficeEducational GroupRestaurantHomes for the elderly and the disabledOther

Service Venue Address (required)

Is there existing COVID-19 confirmed case in the venue? (required)
YesNoDon't know

Service Venue Area(in sq. ft.) (required)

Your Message

Do you wish to receive newsletters and communications from CHF ? (required)
I wishI do not wish

Personal Information Collection Statement:
CHF may use your contact information to communicate with you for newsletters, marketing materials and update of our services and fundraising activities through direct mailing, email, telephone etc. We will not sell and/or provide your personal data to any third party other than our staff, appointed volunteers and institutions who are necessary for these functions.
The provision of personal data is purely voluntary, however, our services may be delayed or cannot be provided if data is insufficient.
You have the right to access, update and request CHF to stop using your personal data for the above purposes by notifying the office manager with email to [email protected] or by mail to G.P.O. Box 3923, Central, HK.
Please also read our Privacy Policy at https://chfaidsorphans.com/privacy-policy for more details.

I have read, understood and agreed to accept the CHF Personal Information Collection Statement and the Privacy Policy Statement.(required)

To confirm that this form is not filled by a robot program, please answer this quiz in english: The Capital of China? (required)