Dover Park Hospice Charity Gala 2025

Donor Type*

Individual Donor

Corporate Donor

Table/Seat Sales

*Tables are limited and will be booked on a first-come-first-served basis.

Table/Seat Category

Presenting Sponsor ($88,000)

Diamond Sponsor ($45,000)

Platinum Sponsor ($29,000)

Gold Sponsor ($17,000)

Silver Sponsor ($10,000)

Individual Seat ($1,500)

Quantity

Donation

Outright Donation (Gala)

I would like to support Dover Park Hospice's cause by making a cash donation of

Donation (Gala)*

I am pleased to make a contribution of

^For donations of $10,000 and above, acknowledgment (with logo if applicable) will be featured during the dinner.

Particulars

Company Name*

Company Registration No. (UEN/ROC)*

*UEN/ROC number is required for Singapore tax resident/ company to qualify for 2.5 times tax deductions for donations.

Salutation*

Name*

Do you require tax deduction?*

Yes

NRIC/FIN*

*NRIC/FIN number is required for Singapore tax residents or companies to qualify for 2.5 times tax deduction on donations.

Mailing Address

Delivery Address Line 2

Postal Code

Email Address*

Contact No.(M)*

Contact No.(O)

How did you hear about this event?

Word-of-Mouth

Please enter the name of the person who referred you.

I wish to remain anonymous

I wish to remain anonymous.

Marketing Clause

I hereby consent to allow Dover Park Hospice and its agents (collectively "DPH") to collect, use, disclose personal data about me to be updated with information about DPH and materials relating to outreach and fundraising events, campaigns and activities either by postal mail and/or electronic transmission to my email address or to my telephone number(s) by way of voice call / phone call, SMS/MMS (text messages) or fax. I have read Dover Park Hospice's data protection policy available at www.doverpark.org.sg/privacy-notice.

Marketing Clause*

*[Required] I hereby consent to allow Dover Park Hospice and its agents (collectively "DPH") to collect, use, disclose personal data about me to be updated with information and materials relating to the Sunflower Charity Gala 2025 either by postal mail and/or electronic transmission to my email address or to my telephone number(s) by way of voice call / phone call, SMS/MMS (text messages) or fax. I have read Dover Park Hospice's data protection policy available at www.doverpark.org.sg/privacy-notice.

Relevant information may be disclosed to the authorities upon request, or as may be required by applicable law or regulation. By submitting this form, DPH's disclosure of the personal data of individuals to any parties shall be in compliance with the PDPA. DPH will put in place reasonable security arrangements to ensure that the personal data of individuals is adequately protected and secured. Appropriate security arrangements will be taken to prevent any unauthorised access, collection, use, disclosure, copying, modification, leakage, loss, damage and/or alteration of such personal data. I hereby represent and warrant that I am the user and/or subscriber of the telephone number(s) provided by me above, and that I have read and understood the above provisions. If you have any questions relating to our collection, use and disclosure of your personal data or the matters set out in this form, you may contact our Office at dpo@doverpark.org.sg.

Total Amount:

Payment Method*

PayPal / Credit Card

PayNow

Bank Transfer

Cheque

PayNow to UEN S92SS0138D OR scan the QR code

Indicate: GALA25 NRIC FULL NAME to receive 2.5x tax deduction

Please click the SUBMIT button below to complete your registration

Account Name: DOVER PARK HOSPICE
Account Number: 0240098184 - SGD
Name of Bank: DBS Bank Ltd
Bank Code: 7171
Branch Code: 024
Indicate: GALA25 NRIC FULL NAME to receive 2.5x tax deduction

Please click the SUBMIT button below to complete your registration

Crossed cheque payable to DOVER PARK HOSPICE
Indicate: GALA25 NRIC FULL NAME on the back of the cheque to receive 2.5x tax deduction
Mail to: Dover Park Hospice, TTSH Integrated Care Hub, 1 Tan Tock Seng Link, Singapore 307382

Please click the SUBMIT button below to complete your registration

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Dover Park Hospice
Presents

Table/Seat Sales

Donation

Particulars

Thank you for your kind support.

Dover Park Hospice Presents

Table/Seat Sales

Donation

Particulars

Thank you for your kind support.

Dover Park Hospice
Presents