Donation Form
Donation Form    (Please write clearly in Block Letter)
FOR POSTAL / FAX DONATIONS ONLY. (**DO NOT E-MAIL THIS FORM TO US. INTERNET IS NOT A SECURE ENVIRONMENT.**)
This form can be printed and
Fax to:
or send to:
   The Corporate Body of the Buddha Educational Foundation
Fax: +886-2-2391-3415, Tel: +886-2-2395-1198,
Address:11F, No.55 Hang-chow South Road, Sec. 1, Taipei, Taiwan
Donator's Contact Information:  
(Please fill in Block Letter clearly for receipt)		 Date: _________________
  NAME:
*  ADDRESS:
  TELEPHONE:
Receipt for Donation:
Yes
No
 E-MAIL:
 
  Purpose for Donation:
 
(1)Supporting Foundation
(2)Printing & Delivery
(3)Video & Audio
(4)Relieving Life
(5)Public Welfare & Charity
(6)Offering for Teachers
(7)Hwa Dzan Teaching Garden
(8)Special Purpose
Banking Information:
Bank Name: Chen Chong Branch, Bank of Taiwan.
Bank Address: No.47, Ching Tau East Road, Taipei city, Taiwan (Post Code: 100).
Swift Code : BKTWTWTP045
Account Name: The Corporate Body of The Buddha Educational Foundation.
Account No.: 045004597503
By Credit Card (Please fill in Block Letter)

I authorise the payment of $USD (United States Dollars): $USD.............................................. Dollars
Please Note: For current exchange rate see The Universal Currency Converter.

Please tick one:
VISA    
MASTERCARD    

NUMBER:  __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ EXPIRY DATE: ______ / ___

BANK NAME:
CARDHOLDER NAME:
CARDHOLDER'S SIGNATURE:
THIS FORM IS FOR POSTAL / FAX DONATIONS ONLY.