2022 MVBT Obon Consolidated Order Form

2022 MVBT Obon Festival
Consolidated Order Form

for
In-Person Reservations, Food Orders,
Digital Lanterns, Donations/Sponsorships

PLEASE NOTE
Due to COVID-19 restrictions, this event has a maximum capacity of 350 people and will therefore be limited to MVBT Member Households and members of MVBT Affiliated Organizations. If you would like to join us as a member, you are welcome do so at this time! People of all ages, ethnicities, sexes and races are welcome to join the Mountain View Buddhist Temple Sangha. CLICK HERE TO JOIN

PAYMENTS
You may place your order on this form, then pay for your order with either check or credit card. Please note that a 3% charge will be assessed on credit card payments. Fees will not be assessed on donations, however you may choose to help cover them when you check out.

DEADLINES
In-Person Registration and Food Orders must be placed by June 30, 2022. Digital Dedication Lanterns and Donations may be made until July 16, 2022.

QUESTIONS?
For the most updated information about this year's Obon Festival, please check the latest edition of Putra's Post. If you have any additional questions, please send an email to obon@mvbuddhisttemple.org.

HOUSEHOLD CONTACT INFORMATION
Internal
INTERNAL INPUT FOR PAPER FORMS RECEIVED

Please fill in the check number and date received, then input the information on the form. If the person does not have an email address, use obon@mvbuddhisttemple.org.
Check #
Date Received

Month Day Year
Date
First Name *
Last Name *
Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State

Zip Code
Phone *

Area Code Phone Number
This event is limited to MVBT Member Households and members of MVBT Affiliated Organizations. Please indicate your zone or affiliation below. NOTE: Community Members are in Zone "C". Authorized affiliated organizations include: Buddhist Womens Association (BWA), Adult Buddhist Association (ABA), Young Adult Buddhists Association (YABA), Young Buddhists Association (YBA), Dharma School, Boy Scouts, Cub Scouts, Girl Scouts, Choir, Miroku, Oasaji Group, Senior Activities, Taiko, Ukulele Club, Fishing Club, and Sewing Group. If you're in a Zone, you do not need to list your affiliated groups.
Zone or Organization *
"ADD ON" Orders:

With this consolidated form, you will able to (1) register to attend, (2) purchase food, and (3) make a donation. If you are not ready to do all 3 at this time, you may still start the process.

If this is the first time you are filling it out, please complete the entire form. When you come back later, please indicate that this is an "Add-On" order.

Please be sure to use the exact name and email address for your previous order. If you have any special notes to convey to the committee, you may also do so at the end of this form.
Is this an Add-On Order? *

Yes No
What items are you adding? (Select all that apply) *

In-Person Attendees Food Items Donations/Lanterns

IN-PERSON REGISTRATION
HEALTH & SAFETY
All in-person attendees will be required to fill out a health attestation form on the day of the event, prior to checking in. We will provide a link to the form on the morning of the event. For this reason, please provide an email address for every adult who is attending. Parents may fill out forms on behalf of their children. Paper forms and tech assistance will also be available at check-in for those members without computer access. For a preview of the form, please click here. (But don't fill it out until the day of the event!)
Will anyone in your household be attending? *

Yes No
Number of Attendees *
INCLUDING YOURSELF
Attendee #1 First Name *
Attendee #1 Last Name *
Attendee #1 Email
example@example.com
Attendee #1 Age Group *
Attendee #2 First Name *
Attendee #2 Last Name *
Attendee #2 Email
example@example.com
Attendee #2 Age Group *
Attendee #3 First Name *
Attendee #3 Last Name *
Attendee #3 Email
example@example.com
Attendee #3 Age Group *
Attendee #4 First Name *
Attendee #4 Last Name *
Attendee #4 Email
example@example.com
Attendee #4 Age Group *
Attendee #5 First Name *
Attendee #5 Last Name *
Attendee #5 Email
example@example.com
Attendee #5 Age Group *
Attendee #6 First Name *
Attendee #6 Last Name *
Attendee #6 Email
example@example.com
Attendee #6 Age Group *
Attendee #7 First Name *
Attendee #7 Last Name *
Attendee #7 Email
example@example.com
Attendee #7 Age Group *
Attendee #8 First Name *
Attendee #8 Last Name *
Attendee #8 Email
example@example.com
Attendee #8 Age Group *
Attendee #9 First Name *
Attendee #9 Last Name *
Attendee #9 Email
example@example.com
Attendee #9 Age Group *
Attendee #10 First Name *
Attendee #10 Last Name *
Attendee #10 Email
example@example.com
Attendee #10 Age Group *

FOOD ORDER
Will you be purchasing food? *

Yes No
It looks like you will not be attending, but are planning to order food. Please note that you will need to pick up your order on the morning of the event. You will be assigned a specific window to pick up your order. Your time will be emailed to you during the week before the event. If this person is NOT the household contact listed above, please indicate so in the notes section.
Items Available for Purchase
- Adult Bento ($15) Includes Chicken Teriyaki, Salmon Mayo, Kinpira Gobo, Wakame Salad, Tamagoyaki, Rice, Takuan. From Suruki.
- Child Bento ($10) Includes Karaage, Spam Musubi w/Sauce, Edamame. From Suruki.
- Spam Musubi ($3.50) From Suruki.
- Futomaki ($12) 8 pieces. From Suruki.
- Manju ($10) 4 pieces. From Shuei-Do.
- Polish Sausage ($25) 5 lbs, approximately 20 sausages.
ADULT BENTO Quantity
Adult Bento Subtotal
CHILD BENTO Quantity
Child Bento Subtotal
SPAM MUSUBI Quantity
Spam Musubi Subtotal
FUTOMAKI Quantity
Futomaki Subtotal
MANJU Quantity
Manju Subtotal
POLISH SAUSAGE Quantity
Polish Subtotal

DIGITAL DEDICATION LANTERNS

We invite you to make a donation to MVBT OBON at HOME by purchasing digital dedication lanterns. For every $25 donated, we will provide you with a customized digital lantern on our OBON at HOME website.The digital lanterns will be on display at obon.mvbuddhisttemple.org/lanterns.

The deadline to have your lantern on this year's display is Saturday, July 16th.

Your support not only makes this program possible, but also helps MVBT's year-round operational expenses and educational programs.

STANDARD DIGITAL DEDICATION LANTERN
($25 each)

LOTUS
($100-499)

SAKURA
($500-999)

WISTERIA
($1000-4999)

CHRYSANTHEMUM
($5000+)

Lotus-decorated lanterns

(one per $25 donated)

Recognition on website

Sakura-decorated lanterns

(one per $25 donated)

Recognition on website

Wisteria-decorated lanterns

(unlimited)

Small logo on website

Custom photo/logo lanterns
(unlimited)

Large logo on website

NOTE: If you are not ready to purchase lanterns or make a donation at this time, you may bypass this section by selecting "No" and return later to place an "Add-On" order.
Would you like to purchase lantern(s) or become a sponsor? *

Yes No
Donation Amount *
How would you like your donation to be recognized? *
(ex: individual name, family name, organization name, anonymous)
Donation Total
Sponsor Level
Names for Lanterns:

Please list the name(s) that you would like to honor on your digital lanterns, separated by commas (40 characters max per lantern). For Lotus and Sakura level sponsors, you may submit one name for every $25 donated). Wisteria and Chrysanthemum have no limit.

If you do not have all of your names at this time, you will receive instructions on how to do so later in your confirmation email.
Lantern Names
Names MUST be separated by a comma

PAYMENT
You may pay for your order with either check or credit card. Please note that a 3% transaction charge will be added on credit card payments for food and merchandise. Credit card charges are not automatically assessed on donations or memberships, but you may choose to help cover them.

Note: If your total is "$0" because you are not purchasing items or making a donation at this time, please select "Check" as your payment method to bypass the credit card payment fields.
Payment Method *

Credit Card Check
Would you like to cover the credit card fees for your donation payment? *

Yes No
Food Subtotal
CC Fees Mandatory
CC Fees Optional
Grand Total

Number of Household Members Attending: {attendeeQuantity}

ITEMS	Quantity	Unit Price	Subtotal
Adult Bento	{adultBentoQuantity}	$15.00	${adultBentoSubtotal}
Child Bento	{childBentoQuantity}	$10.00	${childBentoSubtotal}
Spam Musubi	{spamQuantity}	$3.50	${spamSubtotal}
Futomaki	{futomakiQuantity}	$12.00	${futomakiSubtotal}
Manju	{manjuQuantity}	$10.00	${manjuSubtotal}
Polish Sausage	{polishQuantity}	$25.00	${polishSubtotal}

FOOD : ${foodSubtotal}

CREDIT CARD TRANSACTION FEES: ${ccFeesMandatory}
DONATION TOTAL: ${donationTotal}
ADDITIONAL TO COVER DONATION FEES: ${ccFeesOptional}
GRAND TOTAL: ${grandTotal}
Payments via Credit Card

Please enter your credit card information below. After you click "SUBMIT" this form will send your data directly to Square, our credit card processor. Your credit card statement will show a charge from Mountain View Buddhist Temple. NOTE: MVBT does not receive a copy of your credit card number.

Payments via Check

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 OBON
575 N. Shoreline Blvd
Mountain View, CA 94043

Please make your check payable to Mountain View Buddhist Temple and write, "Obon" on the memo line on your check.
Notes / Comments / Special Instructions (ex: name of pick-up person, if different from household contact)
Should be Empty:

2022 MVBT Obon FestivalConsolidated Order Form

HOUSEHOLD CONTACT INFORMATION

IN-PERSON REGISTRATION

FOOD ORDER

DIGITAL DEDICATION LANTERNS

Names for Lanterns:

PAYMENT

Credit Card

2022 MVBT Obon Festival
Consolidated Order Form