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Sponsorship and Donation Form

Your Personal Details

(R) = Required information
Name
(R) 		Address
(R)
City
(R) 		State
 
Postal/Zip Code
Country
(R)
Phone

Fax
E mail
(R) 		 
 

Sponsorship Fund

You may choose more than one option:
Fully sponsor a monk for $30 US per month or $360 US per year
Fully sponsor a nun for $30 US per month or $360 US per year
Partly sponsor a monk for $10 US per month or $120 US per year
Partly sponsor a nun for $10 US per month or $120 US per year
Fully sponsor one teachers salary for 60$ per month or 720$ per year
Partly sponsor one teachers salary for 30$ per monthor 360 $ per year
Sponsor education material for one student for 50$ for one year

Please keep me anonymous from my sponsored monk or nun
 

Other Donations

Purpose Amount in US$
General Donation for the daily expenses
Make a donation to the monks food fund
Make a donation to the nuns food fund
Monastery Building Fund more details
Nunnery Building Fund
Other (please state purpose)
 

Paying for Your Sponsorship - Please choose an option (R)
I will pay by Credit Card I will send a Draft of Personal Check

After submitting this form you will be able to make a secure on-line payment through the FPMT credit card facility.

NB: We can make automatic monthly deductions for your sponsorship, see below.......

This is a first installment on monthly sponsorship. Please contact me to arrange subsequent payments.

I am renewing my sponsorship payment

Please contact me about the best way for me to pay

Total Amount in US$ (R)

You will receive an e-mail confirmation outlining your payment details. Please print this e-mail and post it along with your draft or check to the below address. Please make payable to"FPMT inc" in US dollars. Personal checks can only be sent by US residents.

FPMT Inc
1632 SE 11th Avenue,
Portland OR 97214-4702
USA
Phone 1 + 503.808.1588
fax 1+ 503.808.1589
 

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