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 Service
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
是否出席法會 Attending the Service?*

出席 (Yes)不出席 (No )
是否穿著海青縵衣參加法會 Attire of attending the Service?*

搭縵衣 (with Precept Robe)海青 (Black Robe only)便服 (Regular cloth)
大悲懺懺主(Name of Sponsor)
供齋(Food Offering）
供花果（Flower &Fruit Offering）
留言
Leave us a message
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 Card 信用卡Check (支票抬頭請寫I.B.P.S. 並註明哪一天已經在網路報名 Please make check payable to I.B.P.S. and make a memo of when you have registered online)Send Payment via Zelle
Zelle Confirmation # 轉賬號碼
if send payment via Zelle 如果透過Zelle付款
支付人(支票或 PayPal )姓名*
Payment made by
需要收據? (Need a receipt?)*

NoYes
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

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

佛光山西來寺 大悲懺功德登記表