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)
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. 個資保密聲明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。
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.

Should be Empty:

佛光山西來寺 大悲懺功德登記表

Confidentiality Notice 個資保密聲明

付款

佛光山西來寺大悲懺功德登記表