Donation Completed Register Form for Dharma Assembly to Respectfully Honor the Holy Birthday of Namo Medicine Buddha Lapis Lazuli Radiance Tathagata

Home Donation Completed RegisterDonation Completed Register Form for Dharma Assembly to Respectfully Honor the Holy Birthday of Namo Medicine Buddha Lapis Lazuli Radiance Tathagata

Donation Completed Register Form for Dharma Assembly to Respectfully Honor the Holy Birthday of Namo Medicine Buddha Lapis Lazuli Radiance Tathagata

2022-10-01 Donation Completed Register

English-Donation completed register form（Medicine Buddha DA)2022/10/30

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) *

Maximum file size: 134.22MB

Notes

Confirm if the above information is correct. *

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Donation Completed Register Form for Dharma Assembly to Respectfully Honor the Holy Birthday of Namo Medicine Buddha Lapis Lazuli Radiance Tathagata

Donation Completed Register Form for Dharma Assembly to Respectfully Honor the Holy Birthday of Namo Medicine Buddha Lapis Lazuli Radiance Tathagata

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