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Donation Form

Puja dedications & requests for prayers

Your Information

Honorific*

First Name*

Last Name*

Email*

Country*

My language*

Pujas*

Medicine Buddha
Tara Puja
16 Arhats
Lama Choepa Tsog
Any(Next scheduled Puja)

Name of beneficiary*

Puja reason*

Obstructions
Serious Illness
Death
Other reason

Order number

Donate for*

Other reason:

I will pay the PayPal fee?
(3.4% fee plus €0.25 per transaction)

No Yes

Donation Information

Donation Type

One Time Recurring

Donation frequency

Number occurrences

Amount

€

€

Payment method *

Paypal
Offline Payment / Paiement Hors Ligne

Credit Card Number*

Expiration Date*

/

Card (CVV) Code*

Card type*

Card Holder Name*

€

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Our Address

Nalanda Monastery
Rouzegas, Labastide St. Georges
81500 France

(+33) (0)5 63-58-02-25
info@nalanda-monastery.eu

Coordinates
43°41'29.56"N 1°50'59.96"E
& 43.689465 1.849799

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