Nan Tien Temple

光明燈在線登記表（注：*为必填项。Notice: All fields marked with * are required.）

聯繫人信息（Contact Details）

名字（First Name） *

姓氏（Last Name） *

地址(Address) * 未找到 (Cannot find)

街道號碼 (Street No.) * 街道名稱 (Street Name) * 城市(Suburb) *

州/領地(State/Territory) * 郵政編碼(Postal Code) * 國家(Country) *

電話（Contact No.） * 電子郵件（Email） *

光明燈信息（Light Offering Details）

新燈/續燈（New Light/Renew Light） *

點燈人（Name of Person Offering Light） *

性別（Gender）

生日（Date of Birth）

點燈類型（Light Offering Type） *

點燈地點（Light Offering Place） *

支付方式（Payment Method）

*
（成功付費後，我們會為您點亮光明燈。如希望通過其他方式付費點燈供佛者，請向所選地點登記，功德無量! ）

Declaration

I hereby declare that:

The information I have provided in this application is true and correct, and I will notify Nan Tien Temple of any change.
I have read all the information related to this retreat/course, and accept and agree to all of its Terms and Conditions. I agree to abide by Nan Tien Temple's policies and procedures for the duration of the retreat/course.
I take full responsibility and liability for my own health and safety, including any accidents, risks, or "acts of nature" during the retreat/course.
I have read and agree to the Refund Policy and the Privacy Policy.

Confirmation

* I acknowledge that it is a condition of my application that I have read, understood, acknowledged and agreed to the above declaration.

©Copyright 2019 Fo Guang Shan Nan Tien Temple, Australia, All rights are reserved.
E-mail: info@nantien.org.au Phone: +61 (2) 4272 0600 Fax: +61 (2) 4272 0601
Address: 180 Berkeley Road, Berkeley, NSW 2506 Mail: PO Box 1336, Unanderra, NSW 2526