Pu Ji Si Buddhist Research Center

 

Medicine Buddha Lamp / 药师如来常年吉祥平安灯

Name/姓名:

 

Email/电子邮件:

 

Contact No./联络号码:

 

A. 每盏 $120 per Lamp

2名字合家或4名字/ 2 family names or four joint names

Number of Families /人数:

01.

02.

03.

04.

 

Total/合计:$

 

B. 每盏 $60per Lamp

1名字合家或2名字/ 1 family name or two joint names

Number of Families /人数:

01. 02.

03. 04.

 

Total/合计:$

 

C. 每盏 $30 per Lamp

1个名字/ 1 individual name

Number of Names /人数:

01. 02. 03. 04.

 

Total/合计:$

 

Overall Total/总计:

 

Payment Modes/付款方式:

 

For payment in cash and NETS, please come personally to our office. 以现金或电子过帐付款, 请亲临本寺务处支付.

 

Bank Cheque No. Amount

 

We will send the official receipt to your address./我们会把正式收据寄给您。

 

Address/地址