Rice Ball 2024The Rice Ball is an annual Fundraising Dinner and Gala to benefit Wild Rice. This year, the Ball will take place on Saturday, 9 March 2024, from 7pm, at the Island Ballroom, Shangri-La Hotel. This form will take you around 10 minutes to fill in. If you need any help or more information, please contact our Rice Ball 2024 Secretariat at 97126278 or riceball@wildrice.com.sg.Name *Will you be attending The Rice Ball? *Yes, I would be delighted to attend The Rice Ball.No, I am unable to attend The Rice Ball, but would like to show my support by making a donation.Make a DonationI would like to make a donation of (S$): *SGDAttending The Rice BallHow many tables would you like to purchase? (Each table seats 10) *12345I would like to buy tables in this tier: *S$25,000 (Complimentary Champagne, Wine and 8 tickets to TARTUFFE: THE IMPOSTER)S$18,000 (Complimentary Champagne, Wine and 6 tickets to TARTUFFE: THE IMPOSTER)S$12,000 (Complimentary Wine and 2 tickets to TARTUFFE: THE IMPOSTER)S$9,000 (Complimentary Wine)In addition to purchasing a table, I would like to make a donation of (S$):SGDMy total donation is (S$):Donor's DetailsEmail Address *Mobile Number *Company *Designation *Alternate ContactName/Email/Phone NumberStreet Address *ZIP / Postal Code *Country *AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People’s Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d’IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People’s Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People’s Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabweWould you like to be acknowledged in marketing collaterals for The Rice Ball? *YesNoI would like to be acknowledged as:I was introduced to The Rice Ball by: *Please select oneKitch LumSusanna KangKen KhooAndrew LauJohn & Andrea FriedmanTan Siok SunJanice KohBill AngDeborah BarkerChoo Chek SiewChong Chan MengAnthonia HuiPauline GanDr Mary Ann TsaoHarris ZaidiIvan HengTony TrickettGlen GoeiWild RiceTax Deduction DetailsYou may choose to award the tax deduction to a person or entity other than yourself. Alternatively, if you wish not to receive any tax deduction, please enter NA for questions in this section. Donations made after 31 December 2023 will be reflected in tax assessment for the Year of Assessment (YA) 2024.I only require one tax deduction receipt for my donation.I require multiple tax deduction receipts for my donation.Name or Company NameNRIC or UENName or Company Name / NRIC or UEN / Tax Deduction AmountPlease indicate each person or entity in a separate row. The total tax deduction amount cannot exceed the total amount of your donation.Payment MethodsI would like to pay by: *PayNow/Bank TransferChequeCredit CardOthers (Please Call Me)Payment by Credit Card *Payment by PayNow/Bank TransferPlease scan the QR code below, or make a transfer to WILD RICE Ltd using UEN 200100891D or UOB 102-316-408-1 with remarks RB24 – [DonorName]. Then, upload a screenshot of the completed transaction below. Upload transaction screenshot *Choose FileNo file chosenDelete uploaded filePayment by ChequePlease make cheque in favour of WILD RICE Ltd, and mail to: Rice Ball 2024 Secretariat WILD RICE Ltd 107 North Bridge Road #04-08 Singapore 179105 Submit
