Medicine Buddha Light Offering Registration

藥師法會功德登記表

Medicine Buddha Light Offering / 藥師法會

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English Name / 英文名字 *

Chinese Name / 中文名字 *

Phone / 电话 *

Email

Address地址

Address地址

Address地址

Address地址

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

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Country

Offering Options /點燈選項 *

Individual / 個人 - $30 each

Family / 闔家 - $60 each

Individual / 個人 - $30 each

Offering Benefactors / 個人點燈功德芳名 *

USD

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Family / 闔家 - $60 each

Name / 闔家點燈功德芳名 *

USD

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Others Offering / 其它供养

Benefactor’s Name / 功德芳名

Food Offering / 打齋 (USD)

Flower and Fruit Offering / 供花果 (USD)

Longevity Peach Bun Offering / 供壽桃 (USD)

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Total Amount / 捐款总额 (USD)

Submit / 提交