MVBT Membership Renewal Form

Thank you for your continued investment in the Mountain View Buddhist Temple. Without your support we wouldn’t be able to continuously provide our Sangha with valuable benefits and actively develop our programs. Put simply, you make what we do possible.

The members (Sangha) of the Mountain View Buddhist Temple are its life blood. Member dues support the maintenance of the Temple, our minister, facilities, organizations, and all the wonderful programs that benefit our Sangha. Please see the MVBT Website for descriptions of the membership categories.

Note: A portion of your dues is allocated to the Buddhist Churches of America (BCA).

Membership Year

Membership Start Date

Date

Membership End Date

Date

Are you filling out this form on behalf of another person or household? *

Yes No

Proxy Name and Relationship

INSTRUCTIONS for PROXY: Please provide the name of the member (head of household) below and your own email address in their email field. Note: An email address is required in order to use this form.

First Name *

First Name

Last Name *

Email *

example@example.com

Names of other household members covered by this renewal (if applicable)

Which membership category would you like to join this year? *

Sustaining Family - $1,000 Family - $600 Sustaining Individual - $500 Individual - $300 Associate Individual - $150 Young Adult Individual - $25 Community Individual - $120

How would you like to pay?

Check Credit Card

Pay by Check: $ {categoryCalc}

After you click "submit" below, you will receive an email with a copy of your form responses. Print this email and mail it with your check to:

MVBT Membership
575 N. Shoreline Blvd
Mountain View, CA 94043

Please make your check payable to Mountain View Buddhist Temple and write, "MVBT Membership" on the memo line on your check.

(Note: These instructions will also be sent to you in your confirmation email)

Total Payment

USD MVBT Membership Renewal

Credit Card

Additional Notes/Comments for Membership Committee

SFDC Membership Amount

Hidden

SFDC Member Level