佛光山西來寺觀音法會功德登記表

佛光山西來寺觀音法會功德登記表

Avalokitesvara Dharma Service Registration Form
捐款人姓名 Contact Person*
Name of Benefactor
男 (Male)女 (Female)
電話 Tel #*
Contact Number
電子郵箱 Email Address*
E-mail
地址 Address*
Address
出生日期 DOB*

MonthDayYear
Birthday
佛光卡號碼 Fo Guang Card #
Fo Guang Card No. ex. M1234567
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. 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。
供齋 (Food Offering)
供花果(Flower & Fruit Offering)
供壽桃(Longevity Peach Offering)
PayPal/Credit Card 信用卡Send Payment via Zelle
轉賬金額 Transfer Amount
USD
轉賬號碼 Zelle Confirmation #
if send payment via Zelle 如果透過Zelle付款
支付人姓名 Payer's Name*
Payment made by
需要收據? (收據抬頭為PayPal／Zelle支付人姓名)

Name on the receipt must be the name of PayPal account, credit cardholder or bank account.
NoYes
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如果您是付Zelle，請勿填寫總金額，直接按"Submit".
If you are paying by Zelle, please skip the total amount and hit "Submit."
功德款 Total Amount

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USD總計

Payment Methods

Debit or Credit Card

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