Donation Pledge Form for the Dharma Assembly to Respectfully Honor the Holy Birthday of Namo Amitabha Buddha 2023-11-13 Donation Completed Register English-Donation completed 2023/12/17 registration (Amitabha Buddha DA)2023/12/17 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. If you are human, leave this field blank. Submit Share 1
