If you wish to make a donation to The Buddhavihara Temple

please complete this form on your computer,
click the 'Print' button at the bottom of the form:
and send it, along with your cheque to:

The Buddhavihara Temple, Eastfield House, Alrewas Road, Kings Bromley, Staffordshire DE13 7HR

Please make your cheque payable to 'The Buddhavihara Temple'

I would like to make a donation of
Please find my cheque enclosed
Name
Address
Telephone
Email
Please tick one of the following:
Please find enclosed my Gift Aid certificate
You already hold my Gift Aid Certificate
I am not a UK taxpayer

Thank you for making this donation to The Buddhavihara Temple