Practice Weekend: Taking Refuge 实修周末：皈依
Sign in to Google to save your progress. Learn more
Email *
【 PERSONAL DETAILS 个人资料 】
Full Name 全名 *
Mobile Phone 手机 *
Date of Birth 生日 *
MM
/
DD
/
YYYY
Gender 性别 *
Preferred Language 首选语言 *
Membership number (Kechara Members & Friends) 会员号（克切拉会员与朋友）
How did you hear about this programme? 你从哪里得知这项活动？ *
Required
【 PAYMENT METHOD 付款方式 】
I’m paying by: 我将使用以下方式付款： *
Required
I'd like to receive the latest updates from Kechara and its affiliates. 我想收到克切拉及其附属机构的最新消息。
IMPORTANT NOTE 重要事项
IF PAYING BY BANK TRANSFER, please remit payment to Persatuan Penganut Buddha Rumah Kechara Malaysia (Kechara House), CIMB Bank Berhad, Account Number: 8003-73-1474 (please specify "Practice Weekend") then send proof of payment to https://wa.me/60103020999. Thank you.

若通过银行转账付款，请将款项汇至Persatuan Penganut Buddha Rumah Kechara Malaysia (Kechara House)，CIMB Bank Berhad，银行账户号码：8003-73-1474（请注明"Practice Weekend”）然后将付款证明发送至 https://wa.me/60103020999。谢谢。
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Kechara.

Does this form look suspicious? Report

Google Forms