Donate – Masks for Life & Masks for Protection

$ Donation Amount:

Personal Info

First Name *

Last Name

Email Address *

* 聯絡電話 phone number *

您所在的主要城市和州 (STUF 將依據募款所得的主要城市比例，把募得口罩按比例在美國捐贈分配) the metropolitan and State you live in (STUF will distribute masks proportionally in the U.S. based on the percentage of funds raised in each metropolitan city) *

如果您是TCCNA地區商會會員，請註明您商會名稱。如果您個人和家人需要一般口罩，請聯絡您當地的地區商會負責人。 If you are a TCCNA local chapter member, please list your chapter name. If you and your family need regular masks, please contact the president of your local chapter.

如果您是TJCCNA地區青商部會員，請註明您青商部名稱。如果您個人和家人需要一般口罩，請聯絡您當地的青商部負責人。 If you are a TJCCNA local chapter member, please list your chapter name. If you and your family need regular masks, please contact the president of your local chapter.

* 指定捐款的安排 Designated Donation * Mask for Life: 捐贈給美國醫護人員 donate to medical staff in the U.S. Mask for Protection: 捐贈可水洗三層防水口罩給社區居民 donate washable 3-layer waterproof goretex-like masks to needed community members 授權 STUF Officers 安排 Authorize STUF Officers to make arrangement

如果您有指定受贈的城市或州，請列出 If you have a designated city or state for the donation, please list it below

一萬美元以上捐款可指定安排: 請將口罩捐給我指定的醫院或政府機構，請寫機構名稱、地址、電話、聯絡人姓名 (請確認該機構為非營利組織，以符合STUF指定捐款作業規定) For donation over $10,000, if there is a designated hospital or government agency, please list the name, address, phone, and contact person (please make sure it is a nonprofit entity).

Donation Total: $50.00