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)
付款方式 (Payment Method)*

Paypal/Credit CardCheck (支票抬頭請寫Please make check payable to I.B.P.S.)
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
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功德款 Total Amount

prevnext( X )
USD總計

Payment Methods

Debit or Credit Card

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

佛光山西來寺供齋花果登記表