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Volunteer  
  志愿者登记及捐款表格 Volunteer Application Z Donation Form
   本人愿意成为上海儿童医学中心的志愿者
  Email: scmc_sw@126.com
    I would like to join the volunteer team of Shanghai Children’s Medical Center
  个人资料 （带 * 为必填）
  Personal Information
  姓名Name
  (中文) *
  (English)*
  性别Sex
  年龄Age:
  电话Tel: *
  手机Mobile:
  传真Fax:
  联络地址Address: *
  电子邮件地址E-mail Address: *
  本人愿意捐助人民币 元作为上海儿童医学中心的慈善经费.
  Please accept a donation of RMB for the charity cost of Shanghai Children’s Medical Center
   
  请将填妥表格及支票寄往:上海浦东新区东方路1678号 医院社工部
  Please send the form and cheque to hospital social work department, 1678 Dongfang Road, Pudong New Area, Shanghai
  邮编Zip code:200127
 
电话Tel:021—38626161－ 3101
 
传真Fax: 021—50891405
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     Shanghai Children’s Medical Center
Address:1678 Dongfang Road, Pudong, Shanghai
Tel:+86(21) 38626161
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