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Payment Form

Use this form to make miscellaneous payments due to the Bodhi Manda. If you are making a charitable donation, please use the Bodhi Donation Form instead. Thanks.

Contact Information

Name *

First Name

Last Name

Amount Due *

Payment Purpose *

Select the type of payment you are making:

Zen Practice

Workshop or Retreat

Lodging

Other

Zen Practice Description *

Please tell us which Zen practice event applies to your payment, for example, Feb 12 sesshin, or Jun 6 zazenkai, etc.

Workshop or Retreat Description *

Please enter a brief description for your payment, for example, Sai Baba Sept 1., Body Electric, Yoga etc.

Other Payment Description *

Please enter a brief description of your payment, for example, Saturday lunch and dinner, transportation, etc.

Preferred Address

Entry of your home address is optional, but it is helpful to us to have this information.

Please update your information if your address has changed. Thanks.

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Email *

This is your preferred email address.

Verify Email *

Phone *

This is your preferred phone number.

Contact Options

The Bodhi occasionally contacts our friends to appeal for charitable gifts, to thank our donors, to stay in touch, etc. Select to opt out of these kinds of messages.

Do not call

Do not email

Do not mail

Add 3% to my total amount to help cover the payment processing fees