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 Yearly Light Offering
捐款人姓名 Contact Person*
Name
性別 (Gender)*

男 (Male)女 (Female)
電話 Tel. number*
Contact number
生日 Birthday*

MonthDayYear
mm-dd-yyyy
電子郵箱 Email Address*
E-mail
佛光卡號碼 Fo Guang Card No.
ex. M1234567
地址 (Address)*
Confidentiality Notice 個資保密聲明

All personal information provided in this form will be kept strictly confidential and securely stored. Access is limited to authorized personnel only and managed in accordance with applicable privacy laws and ethical standards. 本表格的所有個人資料將會嚴格保密並安全保存。只有獲授權的人員可查看這些資料，並會依照相關的隱私法規及倫理標準進行管理。
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 信用卡Send Payment via Zelle
轉賬號碼 Zelle Confirmation #
if send payment via Zelle 如果透過Zelle付款
轉賬金額 Zelle Amount
USD
收據抬頭為PayPal／Zelle支付人姓名
The name on the payment receipt must match the legal name associated with the PayPal account, the credit/debit cardholder, or the Zelle account being used.
支付人姓名 Payer's Name*
Payment made by
需要收據? (Need a Receipt?)*

YesNo
留言:
Leave us a message
如果您是透過Zelle付款，請勿填寫總金額，直接按 Submit.
If you are paying by Zelle, please skip the total amount and hit “Submit.”
功德款 Total Amount

prevnext( X )
USD總計

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty:

佛光山西來寺 光明燈功德 登記表

Confidentiality Notice 個資保密聲明

佛光山西來寺光明燈功德登記表