佛光山尔有寺功德登記表                                            Fo Guang Shan Er You Temple Offering Registration Form
Sign in to Google to save your progress. Learn more
聯絡人（中文全名） *
Contact Name （Full Name)
出生年月日 Date of Birth *
聯絡地址 Address *
聯絡電話 Contact Number *
郵箱地址 Email *
功德項目 Offering Items *
數量 Quantity
功德項目1 與 2 必填 Apply to item 1 and 2
功德芳名 Beneficiary *
消災祿位 Blessing Ceremony
請註明 Please provide the following information : 功德芳名 Beneficiary
超薦牌位 Memorial Tablet                                                                                                                                                                                            請註明 Please provide the following information : 1. 稱謂（Relationship) 2. 亡者 (Name of the Deceased) 3. 陽上-兩位同輩代表（Name of Two Benefactors of the same generation)
(1) 稱謂(陽上稱往者為)Relationship,   (2)  往者名 Deceased Name ,    (3)  陽上名 Benefactor Name：
銀行匯款 Bank Transfer
Account Name: IBCV
BSB:013006
A/C No.:347300088

*請在匯款 Payment Description 裡以英文註明功德項目和您的名字(付款收據回傳eryoutemple@gmail.com)
 In the Payment Description, please input - Offering item and your contact name (please email the payment receipt to eryoutemple@gmail.com)
總匯款功德金 Total Amount *
匯款日期 Date of Payment *
MM
/
DD
/
YYYY
備註 Message
可同時做多項功德，備註寫清楚即可.  Can register for multiple offering items, please include your message.
個資法同意條款內容 Personal Data Protection Act Agreement                                                                                以下是個資法同意條款內容：本人了解並同意佛光山尔有寺得將本人所填寫的個人資料蒐集、整理、使用在數據登記、未來各項法會及活動通知、帳務處理與功德主提報等作業。且本人提供之本人以外其他個人資料，本人已使該人等知悉及同意其個人資料會提供予佛光山尔有寺進行蒐集、處理或使用。 I understand and agree that Fo Guang Shan Er You Temple will utilize my personal details in reporting of data registration, notification of Dharma Ceremony and activities, managing of accounts and reporting of benefactors. The information of others which I provided to Fo Guang Shan Er You Temple has been conveyed and agreed upon by others that the information provided is for internal use by Fo Guang Shan Er You Temple. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms