“Send the Apple Away” Mail Order Form Bupa will donate the registration fee from all participants and all proceeds from the charity sale to World Heart Day 2014 of the Hong Kong College of Cardiology in support of its continuous efforts on cardiac health education in the community. Please complete this order form to buy our event souvenir. You may also sign up for “Send the Apple Away”, and each participant will receive one set of souvenir on the day of the event. Purchaser Information * Compulsory item Name (Chinese)*: _______________________ Name (English)*: ____________________________ (as on ID Card) HK ID Card or Passport No.*: ____________________________ (first 4 alphanumeric characters only, e.g. A123) Mobile Tel. No.*: ____________________________ Alternative Contact Tel. No*: ____________________________ Email: ________________________________________________________ (The souvenir is available for pickup in person or delivery by courier. Please refer to the Ordering Terms and Conditions for details.) Select your desired souvenir(s) (as many as apply): x I Love Health T-Shirt M/F (Free Size) $100 x I Love Health T-Shirt M/F (XL Size) $100 x I Love Health Towel $70 x I Love Health Souvenir Set $160 Incl. : 1 x I Love Health T-Shirt M/F (Free Size) 1 x I Love Health Towel x I Love Health Souvenir Set $160 Incl. : 1 x I Love Health T-Shirt M/F (XL Size) 1 x I Love Health Towel I Love Health T-Shirt M/F (Free Size):: Chest - 20” Length - 27” I Love Health T-Shirt M/F (XL Size):: Chest – 23” Length – 31” I Love Health Towel: 34cm x 80cm (Photos for reference only) All souvenir quantities are limited and available while stocks last. An additional fee of $30 applies for delivery by courier. Delivery Address (if applicable): ___________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ Ordering Terms and Conditions: Orders will be processed in order of chronology by confirmation date. All souvenirs quantities are limited. Orders will be served on a first-come, first first-served served basis, available while stocks last. Once an order is confirmed, it is not possible to change order quantity or cancel the order. The souvenir is available for pickup in person or delivery by courier. For details, please refer to “I Love Health souvenir (pickup in person)” and “I Love Health souvenir (delivery by courier)”. In case of any dispute, the Organiser er reserves the right to the final decision. I Love Health souvenir (pickup in person): person) After payment ayment is confirmed, the Organiser Organi er will email the collection letter to purchasers who opt for pickup in person. Pickup location: Gift Redemption Centre, G/F, New Media Tower, 82 Hung To Road, Kwun Tong, Kowloon, HK Collection date: From 28 October to 28 November 2014 (closed on public holidays) (late collection will not be entertained) Monday (open during lunch time) Collection time: 9:15am – 5:45pm,, Monday-Friday 9:15am – 11:45am,, Saturday I Love Health souvenir (delivery by courier): After payment is confirmed, the Organiser will email the collection letter to buyers who have opted for delivery by courier. The souvenir will be delivered to the provided address during 28 October to 28 November 2014. A delivery fee of HK$30 is payable by the buyer (per order). Delivery is limited to Hong Kong Island, Kowloon and the New Territories, and excluding outlying islands and P.O. boxes. I have read and agreed to the Terms and Conditions, and confirm that the information provided is true and accurate. I have read and agreed to the Ordering Terms and Conditions and Personal Data Privacy Policy on the event web page. Payment: Order forms must be submitted together with a crossed cheque (payable to “New Monday Publishing Limited”), and mail to “New Monday Marketing Department - 4/F New Media Tower, No. 82 Hung To Road, Kwun Tong, KLN, H.K.” Please clearly state “Send the Apple Away” order form on the envelope. The deadline for mail order is on Wednesday, October 15, 2014. Late submission (based on the postmark date) will not be processed. Order with payment made less than the stated amount will not be accepted. For enquiry, please contact our staff at 5592 7038 by phone, 2960 9326 by fax or [email protected] by email.