佛光山西來寺光明燈功德登記表

佛光山西來寺光明燈功德登記表

Registration form for Light Offering
捐款人姓名 *
Name of Benefactor
性別 (Gender)

男 (Male) 女 (Female)
電話 *
Contact Number: ex. 1112221212
生日

Month Day Year
Birthday
電子郵箱 *
E-mail
佛光卡號碼
Fo Guang Card No. ex. M1234567
地址 (Address) *
全年光明燈 (Name of Yearly Light Offering)
供齋(Food Offering）
供花果（Flower &Fruit Offering）
付款方式 (Payment Method) *

Paypal/Credit Card Check
支付人(支票或 PayPal )姓名 *
Payment made by
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.
需要收據? (Need a Receipt?) *

Yes No
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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.”
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佛光山西來寺 光明燈功德 登記表