vietnamese version

Name:  ___________________________________________________________

Address: __________________________________________________________

Phone: (_____) ______________________   E-mail: ______________________

I would like to make the following donation to build the Compassion Meditation Center:

(  ) $50         (  ) $75       (  ) $100        (   ) $200        (  ) Other: $ _________

(  ) I would like to lend $ ____________ to be repaid within 5 years without interest.

                                                                                       Respectfully,
                                                                                       _______________
                                                                       (please sign your name here)

Remarks: All donations to the Compassion Meditation Center is tax-exempted. For tax deduction purposes, please feel indicate the Center's tax ID number, 94-3342636.  To send checks or money orders, please make payable to Compassion Meditation Center and mail in with this form to:

COMPASSION MEDITATION CENTER
17327 Meekland Avenue
Hayward, CA 94541-1308

In case you give a 5-year interest-free loan to the Center, we will send you a receipt and a verification letter after we received the money.

A lotus for you, a Buddha to be.

Suggestions & Comments: