If you wish to make a loan to The Buddhavihara Temple

please complete this form on your computer,
click the 'Print' button at the bottom of the form: sign and date it
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 loan of		(minimum £5000)
Maximum period of loan		years
Please find my cheque enclosed
Name
Address
Telephone
Email
I understand that this loan will be free of interest
Signature
Date

Thank you for making this loan to The Buddhavihara Temple