Ocean Park
"Friend of the Ocean" Signature Brick Programme

Please print out the following form for your application.

Support Form

Contributor's Name : ______________________________________

Address : ________________________________________________

          _______________________________________________

Telephone : _______________(office) ________________(mobile)

E-mail : _________________________________________________

Signature : ________________________  Date: ________________

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)

Please make your cheque payable to “Ocean Park Conservation Foundation”.

Donation Receipt Required: [   ] Yes        [   ] No

Please return this application form with payment to the Guest Relations Office at Ocean Park’s 

entrance or by mail to the Ocean Park Conservation Foundation, Ocean Park, Aberdeen, Hong Kong.  

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 12-month period.

1. ____________________________________        2. ____________________________________        

Name in Block Letters:                                              Name in Block Letters:

3. ____________________________________        4. ____________________________________        

Name in Block Letters:                                              Name in Block Letters:

5. ____________________________________        

Name in Block Letters: