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Bodhi Membership Form: Monthly Payment
Use this form if you wish to pay memberhips dues by the month.
Contact Information
Name
*
First Name
Last Name
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Phone
*
Call Options
Can someone from the Bodhi call you to stay in touch, for fund raising, or volunteering etc.? Select to opt out.
Do Not Call
Email
*
Verify Email
*
Amount
*
$5
-
Friend
$25
-
Supporting
$50
-
Sustaining
$100
-
Inspiring
Donation Schedule
Monthly
Add 3% to my total amount to help cover the payment processing fees
