佛光山西來寺隨堂超薦法會功德登記表

佛光山西來寺隨堂超薦法會功德登記表

Hsi Lai Temple Memorial Dharma Service Registration Form
捐款人中/英文姓名*
Name of Benefactor
生日

MonthDayYear
Birthday
電子郵箱*
Email
電話*
Contact number
性別 Gender*

男 (M)女(F)
佛光卡號碼
Fo Guang Card No.
地址*
Address
超薦牌位, 陽上人對亡者的稱呼必須一樣 (同輩份) The plaque，benefactors of relation to the deceased must be equivalent, in the same generation.
超薦牌位 Memorial Plaque（每周$100）
供齋功德 Food Offering
供花果功德 Flower/Fruit Offering
收據抬頭為PayPal／check支付人姓名)

Name on the receipt must be the name on the check, the name of PayPal account or the name of credit cardholder.
付款方式 Payment Method*

PayPal/Credit CardCheck
支付人(支票或 PayPal )姓名*
Payment made by
需要收據? (Need a receipt?)*

NoYes
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如果您是付支票，請勿填寫總金額，直接按 Submit.
If you are paying by check, please skip the total amount and hit Submit.
功德款 Total Amount

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Payment Methods

Debit or Credit Card

First Name

Last Name

Credit Card Number

Card Expiration

Security Code

Please click one of the PayPal options to complete payment and submit the form.