青少年之友個人會員退款申請 Young Friends Individual Membership Refund Application 青少年之友個人會員退款申請 Young Friends Individual Membership Refund Application 1會員資料 Member Information2銀行資料 Bank Information3確認 Confirmation YFS-ID* (例子 Example: 2011-0001) English Full Name* First Last 中文姓名 姓 名 手提電話 Mobile Phone Number*電郵地址 Email* 會員類別 Membership Type* 大專會員 Tertiary $120 中學會員 Secondary $80 香港收款銀行資料 Hong Kong License Bank Information 請注意：若指定收款之銀行戶口持有人名稱與辦會員名稱不相同，將被視為會員確認和授權主辦機構辦理退款至指定收款之銀行戶口，主辦機構按此辦理有關退款後，若銀行戶口持有人與辦理退款的會員有任何爭議，一切與主辦機構無關。 Please note: If the name of the bank account holder does not match with the name of the member, it will be assumed that the member authorizes the organisation to process the refund to the assigned bank account. If there is any dispute between the bank account holder and the member after the payment, the organisation will hold no responsibility.收款銀行名稱 Bank Name* 銀行戶口持有人名稱 Account Holder’s Name* 收款戶口號碼 Bank Account Number* 無需輸入空格及橫線 Please do not enter space or dash 聲明 Declaration* 本人確認 I confirm :-本人確認上述所提供之資料正確無誤。本人了解主辦機構保留所有會員退款申請之最後決定權。I confirm that all the information provided is true and accurate. I understand that the organization reserves the right of final decision on all refund applications.NameThis field is for validation purposes and should be left unchanged.