Main Supplicant Form – Chin Yin Buddhist Temple

Main Supplicant Form

Cermeony

Form

Applicant

Name

Phone

Email

Address

City

Postal Code

State

Country

Blessing

You can fill in your own name or your family’s name, but it must be the same address.

Name

Address

Wishes

Ceremony Donation

Including: Ceremonial Script, Repentance Pot, Light Offering, a Lotus, Offerings

Total

CAD$

Payment success

Payment failed

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