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 *
Transaction 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
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