BUDDHANET'S SUPPORT FORM

This form can be printed and sent to:

Buddha Dharma Education Association Incorporated
PO Box K1020 Haymarket, Sydney NSW 2000 Australia
Telephone +612 9212 3071 Email: bdea@buddhanet.net

NAME:


ADDRESS:




TELEPHONE:

E-MAIL:


Donations can be made by an enclosed cheque or money order payable to:


Buddha Dharma Education Association

or by Credit Card:

I authorise the payment of $ ....................... by BANKCARD ......... MASTERCARD ....... VISA .......

NUMBER:

EXPIRY DATE: ___ / __

CARDHOLDER NAME:

CARDHOLDER'S SIGNATURE: