Request Dedication
Please fill out one form for each dedication. We add your dedication to our monthly Medicine Buddha puja, which is recited to remove obstacles. Your dedication will be removed from the list 3 months after submission, but you can add it by filling out this form again.


Contact for questions and cancellations: zurich.fpmt@gmail.com

Email address *
Your First Name *
Your answer
Your Last Name *
Your answer
Name and last name of the person to whom you are dedicating
Example: John Smith
Your answer
Your dedication (good wish for that person)
Example: May she quickly recover after surgery
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service