Ocean Park
"Friend of the Ocean" Signature Brick Programme

Please print out the following form for your application.


Contributor's Name : ____________________________________

Date of Birth : ______________________ Sex : ____________

Address : _______________________________________________


Telephone : _______________(office) ________________(home)


Return this application to the Park's Guest Relations

Office at either entrance with payment, or send by mail

to the Education Section, Ocean Park, Aberdeen, Hong Kong

with a crossed cheque payable to "Ocean Park Conservation

Foundation". This donation is tax deductible.

Please sign in the boxes below. This/These signature(s)

will be inscribed in the Ocean Park "Friends of the

Ocean" Signature Brick Wall for a one-year period.

Format  [_] Individual Signature

            line at HK $ 1,000.00

            (1/5 space of the brick

            per name)

        [_] Exclusive Signature 

            Brick at HK $ 5000.00

            (Take up the whole brick

            with a minimum of 1 name

            to a maximum of 5 names)

Payment [_] Cash       [_] Cheque

Donation Receipt Required:

        [_] Yes        [_] No

Date of


1. __________

Name(in block)

2. __________

3. __________

4. __________

5. __________

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