BMSM Sri Lanka Flood Relief Donation Form
Please key in your transaction details after banking
1. I have made a donation of RM *
Your answer
2. Mode of Payment *
Public Bank: Buddhist Missionary Society Malaysia (a/c 3094360931)
Please key in your transaction details below:
Payment Bank *
Your answer
Mode *
Cheque Number
Your answer
Transaction Reference *
Your answer
Transaction Date *
MM
/
DD
/
YYYY
Transaction Time *
Time
:
Please key in your details
3. Name of Donor(s) *
to be on receipt
Your answer
4. Correspondence Address *
Complete address with postcode for posting of receipt
Your answer
5. Email *
Please provide your family member's email if you do not have one, or write NIL
Your answer
6. Contact Number *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms