Year End Blessing and Memorial Dharma Service Registration

祈安超薦法會功德登記

Year End Blessing and Memorial Dharma Service Registration / 祈安超薦法會功德登記表

If you are human, leave this field blank.

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

Country United States Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Isle of Man Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe

Country

Options / 選項 *

Large Eradicating Disaster Plaque / 消災大祿位 - $100

Small Eradicating Disaster Plaque / 消災小祿位 - $60

Large Memorial Plaque / 超薦大牌位 - $100

Small Memorial Plaque / 超薦小牌位 - $60

Large Eradicating Disaster Plaque (Name: Max. 6 names) / 消災大祿位 (最多6個名字) - $100 each

Benefactor's Name / 功德芳名 (e.g. 小明, Robert, 小花, Maria, 小華，Tony）or (Tony's Family) or (黃小明閤家） *

USD

Add Remove

Small Eradicating Disaster Plaque (Name: Max. 2 names) / 消災小祿位 (最多2個名字) - $60 each

Benefactor's Name / 功德芳名 (e.g. 小明, Robert）or (Tony's Family) or (黃小明閤家） *

USD

Add Remove

Large Memorial Plaque (Name of Living: Max. 4 names) / 超薦大牌位(陽上最多4名) - $100 each

Relationship / 稱謂 *

Name of Departed / 亡者 *

Name Of Living / 陽上 (e.g. 小明, Robert, 小花, Maria） *

USD

Add Remove

Small Memorial Plaque (Name of Living: Max. 2 names) / 超薦小牌位(陽上最多2名) - $60 each

Relationship / 稱謂 *

Name of Departed / 亡者 *

Name Of Living / 陽上 (e.g. 小明, Maria） *

USD

Add Remove

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)

Food Offering Table / 贊普 (USD)

Add Remove

Total Amount / 捐款总额 (USD)

Submit / 提交