佛光山西來寺大悲懺功德登記表

佛光山西來寺大悲懺功德登記表

Registration Form for The Great Compassion Repentance Ceremony
捐款人姓名*
Name of Benefactor
性別 Gender*

男 (Male)女 (Female)
電話 Phone*
Contact Number
生日

MonthDayYear
Date of Birth
電子郵箱*
E-mail
佛光卡號碼
Fo Guang Card No. ex. M1234567
地址*
Address
大悲懺懺主(Name of Sponsor)
大悲懺隨喜功德(General Donation)
供齋(Food Offering）
供花果（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
留言
Leave us a message
付款

Make a online payment
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

prevnext( X )
USD總計

Payment Methods

Debit or Credit Card

First Name

Last Name

Credit Card Number

Security Code

Card Expiration

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

佛光山西來寺 大悲懺功德登記表