·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