佛光山西來寺 大悲懺功德登記表
Registration Form for The Great Compassion Repentance Ceremony
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Email *
聯絡人姓名 *
Contact Person's Name
電話 *
Contact Person's Phone Number  ex. 6269619697
性別 *
Contact Person's Gender
地址 *
Contact Person's Mailing Address
大悲懺懺主功德芳名 (Name of Sponsor)
 ex. Susan Chen($60, May),蔡小明 王大坤(一家两人$100,六月),王小六($180, 五月,六月,七月), 請註明月份
大悲懺隨喜功德芳名 (Name of Donor)
 ex. Susan Chen($20),蔡小明 ($20)
供齋功德芳名及功德金(Name of Food Offering and Donation)
ex. Susan chen ($20 四月初一),蔡小明 ($60 五月十五),王大坤($100 or above 六月初一)
供花果功德芳名及功德金(Name of Flower &Fruit Offering and Donation)
ex. Susan chen ($20 七月初一),蔡小明 ($60  八月十五),王大坤($100 or above 九月初一 )
付款人姓名 *
持卡者姓名或支票持有者姓名 Name on the Card or Name on the Check
付款方式 *
Pay with Paypal (http://www.hsilai.org/tc/events/onlineDharma.php) or                                                                                   Check(Check payable to :IBPS   Address: Dharma Department ,3456 Glenmark Drive, Hacienda heights, CA 91745)
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