VBT Membership Form

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VBT Membership Form

Vista Buddhist Temple Annual Membership Contribution Form

Email *

First Name *

Last Name *

Address *

Phone number *

Membership Type *

Single $200

Couple $350

Senior $120

Under 30 years $100

Supporting $500

Sustaining $1000

Sponsoring $2000

For Couple Membership: Spouse's Name

For Couple Membership: Spouse's Email Address

For Couple Membership: Spouse's Phone Number

Your children under 24 years old are included in membership. Please list name and age

Payment Instructions

After completing this form you may pay by credit card using the Donate button on the VBT Website. Select Membership. Or you may mail a check made payable to:

Vista Buddhist Temple 150 Cedar Road, Bldg. B, Vista, CA 92083

Confirmation receipt of your payment will be emailed.

Thank you for your annual membership contribution!

A copy of your responses will be emailed to the address you provided.

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