□壇主Bodhi Sponsor $ （發起人兩位，消災大祿位、超薦大牌位各兩支）

2021 年多倫多佛光山孝親報恩梁皇法會壇主功德登記表Emperor Liang Repentance Service (Bodhi Sponsor) Donation Registration Form No. C________

電話Tel. (家/ Home ) (手提/ Mobile )

陽 上（兩名）Descendent or relative's name ( 2)

稱 謂Relationship

亡 者 姓 名Name of deceased

如需退稅收據，請填資料；

退稅收據人名必須和支票人名相符 Please complete all information

if you require an income tax receipt. The receipts are issued only to the

name printed on the cheque.

姓 Last Name: 名 First Name:

房號 Apt. # 街名 Street Address

市City 省Province 郵遞編號 Postal Code

C

C

C

C

C

C

地址Address

功德款總計Total Donation $ □現金 Cash $

□ PayPal Giving Fund (www.bit.ly/paypaltoibps) □ Interac e-Transfer (donation@fgs.ca)

□支票Cheque No. (支票抬頭請寫Please make cheque payable to I.B.P.S. of Toronto )經手人/日期 Received by / Date:

三聯單序號 Reference No.:

連絡人/捐款人 Contact Name

2.消災大祿位 (兩支)

Blessing Plaques (2 large)

3.超薦大牌位 (兩支)

Memorial Plaques (2 large)

1. 發起人 (榜文兩位)Names of Lead Benefactor (2 persons)

兩位姓名或夫妻名合家 (Names of two persons or per couple and family)

佛光卡號碼 Fo Guang Card No.: