• 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 jksato@me.com.

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    Pick a Date

  • 2023 Chicken Teriyaki Order Form

    Pickup: Sunday June 4th, 12pm - 3pm

    Mountain View Buddhist Temple

    Join us for the return of MVBT's Chicken Teriyaki Bento Sale! 

    ORDER DEADLINE is Sunday May 14th, 2023

    • Fill out the order form below
    • Submit payment via credit card on the form OR
    • Send check payment in via mail or drop off in the MVBT office

    *Checks should be made out to: Mountain View Buddhist Temple Chicken Teriyaki
    **We follow a ticketless system, so no tickets will be distributed

    If you have any questions please contact Jeff Sato at jksato@me.com

    Thank you for supporting the Mountain View Buddhist Temple. 

  • Household Contact Info

  •  -

  • BENTO ORDER

    Chicken Teriyaki Bento includes half a Teriyaki Chicken (1 breast, 1 thigh), rice, tsukemono, half orange, fortune cookies for $15.00 per bento.

  • PAYMENT

  • You may pay for your order with either check or credit card (preferred). 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, but you may choose to help cover them.

  •  

    ITEMS
    		 Order QTY Unit Price Subtotal
    Adult Dinner {chickenBentoQuantity} $15.00 ${chickenBentoSubtotal}

     

  • 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.

  • prevnext( X )
    USD

    Credit Card

  • Payments via Check

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

    MVBT Chicken Teriyaki Fundraiser
    575 N. Shoreline Blvd
    Mountain View, CA 94043

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

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