Yearly Blessings Plaque 功德登記表

Yearly Blessings Plaque Registration Form
Contact Name*
Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Fo Guang Card No.
Fo Guang Card No. ex. M1234567
Address
Year*
Yearly Plaque of Blessings *
Donation Total*
Payment Method*

Chase Quick Pay/Zelle: austin@ibps.orgCash (Pay at the Main Shrine front desk, Xiang Yun Temple)Check (payable to IBPS, mail to Xiang Yun Temple or pay at the Main Shrine front desk)
Zelle/Quickpay confirmation number*
Should be Empty:

Yearly Blessings Plaque Registration Form