中欧年度基金投资承诺
CEIBS Annual Fund Pledge Form
我是 I am
姓名
Name
班级年级
Class and Year
公司
Company
职务
Title
直线电话
Telephone No.
手机
Mobile Number
电子邮件
Email
通讯地址
Address
我希望向中欧2012年度基金投资 I wish to pledge my investment to CEIBS 2012 Annual Fund
一次
One Time
金额
Amount
多次
Multi Times
重复
Repeat
每月 Monthly
每两月 Bimonthly
每季度 Quarterly
每年 Annually
金额
Amount
我希望的投资用途 I wish to support CEIBS by investing in
教授及研究基金 Faculty and Research Leadership Fund
学生奖学金及助学金基金 Student Scholarship and Financial Aid Fund
校园建设基金 Campus and Facility Fund
院长基金 Presidents’ Initiatives Fund
不指定 Unrestricted
其他用途 Other
我希望的投资方式 I wish to make my investment by
银行转帐
Bank Transfer
户名
上海中欧国际工商学院教育发展基金会
帐号
211582039210001
开户行
招商银行上海分行南西支行，上海市南京西路100号，200003
BNF’s name
Shanghai CEIBS Education Foundation
A/C No.
211582039210001
Bank’s name and address
China Merchants Bank, Shanghai Nanxi Branch, 100 West Nanjing Rd., Shanghai, 200003
在线
Online
银行代扣
Debit credit card / debit card / deposit card
仅限招商银行 China Merchants Bank only
选择此项，我们将另行邮寄招商银行专用“个人账户缴费委托书”供您填写授权。
This option requires you to fill out a letter of authorization so that the money may be deducted from your account. The letter is issued by China Merchants Bank, and will be mailed to you separately.
支票
Check
支票承兑人“上海中欧国际工商学院教育发展基金会”
Please make checks payable to the Shanghai China Europe International Business School Education Foundation
邮政汇款
Postal remittance
收款方
中欧国际工商学院教育发展基金会
地址
上海市浦东新区红枫路699号
邮政编码
201206
Name
Shanghai CEIBS Education Foundation
Address
699 Hongfeng Rd., Pudong, Shanghai 201206, China
其他要求 Other wishes
这份投资也代表了其他人的心意 Please also credit this investment in honor of
姓名
Name
班级年级
Class and Year
我不想公开此次投入 I don’t want my investment to receive public recognition.
* 所有捐赠将在学院网站及向所有校友发行的年度投资者报告中加以表彰。All donations will be acknowledged on the CEIBS website and in an annual "Investors’ Report” circulated to all alumni.
我希望获得“上海市公益性捐赠收据” Please issue to me the official receipt for public welfare contribution.
身份证（护照）号码
ID (Passport) Number
中欧国际工商学院教育发展基金会享有公益性捐赠税前扣除资格。接受公益性捐赠时，使用上海市财政局统一印制的《上海市公益性捐赠票据》。
为便于您接收票据快递，请再次核对身份及地址等信息。
Upon the acceptance of your investment, the CEIBS Education Foundation will issue the official receipt for public welfare contribution that can be used to claim deduction before income tax. Please be sure of the accuracy of your ID and address information.