【西雅圖華藏衛視念佛堂】共修掛單住宿申請表

stay application form

Hwazan Buddhist Foundation
1110 Edmonds Ave. NE., Renton, Washington 98056, USA
Tel: (425) 228-8278

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護照姓名  Name in full *
中文姓名 Chinese Name
申請掛單住宿目的  The purpose of your application  *
抵達念佛堂日期    Date of arrival at the Buddhist Hall *
MM
/
DD
/
YYYY
離開念佛堂日期 Date of leaving the Buddhist Hall *
MM
/
DD
/
YYYY
護照號碼  Passport No. *
MM
/
DD
/
YYYY
性別 gender
 *
Required
年齡 age
 *
國籍  Nationality *
所在國家／城市　Country/City *
居住地址 address
 *
聯絡電話  Telephone
 *
E-MAIL
其他聯絡方式 （line或微信ID）Other contact information or line WeChat id
緊急聯絡人/關係 Emergency Contact / Relationship
 *
緊急聯絡人電話 Emergency contact number
 *

健康狀況 Health Information:

 *
使用語言 Languages Spoken *
Required
如何抵達 Transportation *
Required
是否需要安排接機？Arrange airport pickup  *
其他備註 something else
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