Pledge Form for Dhamma Passaddhi
Pledges and donations are welcome from old students, that is, those who have completed at least one 10-day Vipassana meditation course in the tradition of Sayagyi U Ba Khin as taught by SN Goenka or one of his assistant teachers.

Two options:

(a) Donate now: http://www.passaddhi.dhamma.org/donations.htm ; OR

(b) fill in the form below to pledge now and donate later.

Email address *
Telephone Number *
Your answer
Full Name *
Your answer
Type of Pledge *
Frequency of Pledge/Donation/Loan *
Currency of donation *
Amount of Donation (please fill numbers only) *
Your answer
Date of commencement of pledge *
MM
/
DD
/
YYYY
Donation Account *
Payment Type *
Message for the Centre, if any
Your answer
A copy of your responses will be emailed to the address you provided.
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