·无偿资助 Gift Donation
资助Donation
捐助金额Amount：
姓名Name：
地址Address：
邮编 Zip Code：
国家Country：
联系电话Tel.：
电子邮箱Mail：
○ 匿名捐助
Please, keep my donation anonymous
○我希望我的捐助体现在具体美术馆常务项
I would like to restrict my donation to the following project
付款条款TERMS OF PAYMENT
目前暂时只接受人民币银行转账到蓝顶美术馆
Bank transfer made out to the Chengdu Blue Roof Museum, receipt enclosed
中国四川省成都市建设银行xxx支行
账号：
收款人姓名：
付款理由：无偿资助
责任条款PRIVACY POLICY
捐助人授权成都蓝顶美术馆使用其提供的资料，并有权利访问、修改和纠正他/她的个人资料，或要求其取消和删除。成都蓝顶美术馆保留最终给解释权。Contributors authorize Chengdu Blue Roof Museum use their information provided, and has the right to access, modify and correct his / her personal information, or ask them to cancel and delete. All rights reserved by Chengdu Blue Roof Museum.
日期Date
签名Signature
请完整填写上表，并以电子邮件(标题请注明：无偿资助)的方式发送给：
Please mail the completed form to:
blueroof@blueroofmuseum.com
