Donation Pledge Form for the Dharma Assembly to Respectfully Honor The Holy Birthday of His Holiness Dorje Chang Buddha III 2023-04-02 Donation Completed Register English-Donation completed registration (Buddha Birthda DA)2023/6/30 Application serial number Applicant’s Name Total donation amount * Email Address * Enter Email Pay with (Please check) * Cash Check/Money order/Cashier’s check/Traveler’s check Wire transfer After your application, please turn in your donation along with the confirmation letter to Holy Miracles Temple * Understand and agree Payer’s name on Check/Money order/Cashier’s check/Traveler’s check * Number of Check/Money order/Cashier’s check/Traveler’s check * Name of the sender * Wire transfer transaction number * (Please upload the scan of Check/Money order/Cashier’s check/Traveler’s check, or wire transfer receipt) * Words in scanned document must be clear and visible Choose File Maximum file size: 134.22MB Notes Confirm if the above information is correct. * The above information is correct. Submit If you are human, leave this field blank. Share 0
