佛光山西來寺供齋花果贊普登記表

佛光山西來寺供齋花果登記表

Blessing Donation Form
捐款人姓名*
Name of Benefactor
性別 Gender*

男 (Male)女 (Female)
電話 Phone*
Contact Number
電子郵箱*
E-mail
地址*
Address
出生日期

MonthDayYear
Birthday
佛光卡號碼
Fo Guang Card No.
供齋 (Food Offering)
供花果(Flower & Fruit Offering)
留言
Leave us a message
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? (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?)

NoYes
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.

佛光山西來寺供齋花果登記表