Registration Form

Amitabha Pure Land Teaching and Empowerment
Sat., May 12 - Sun., 13, 2001
Chuang-Yen Monastery

Serial No:__________________

Personal Information

Name : (last) ________________, (first) __________________________
Gender : Monk / Nun / Male / Female (circle one)
Phone :
e-mail :
Address:

Amitabha Jangchog Puja Prayer for the Living
Please list names for prayer request. Attach additional sheet if necessary.

Amitabha Jangchog Puja Prayer for the Deceased
Please list names for prayer request. Attach additional sheet if necessary.

Special Requests

(  ) I would like a private consultation with one of the Lamas.
(  ) Please inform me of future Dharma events at the Chuang-Yen Monastery.
(  ) I would like to volunteer for this event, please contact me.

Fee

Teachings & Empowerment: $70 Empowerment Only: $20	$ __________	($0 for monks or nuns)
Lamp offering	$ __________	(any amount)
Amitabha Jangchog Puja Prayer for the living	$ __________	(any amount)
Amitabha Jangchog Puja Prayer for the deceased	$ __________	(any amount)

Total	$ __________

Registration Instructions

Complete this form
Make check payable to BAUS, and mail to Buddhist Association of the United States
2020 Route 301, Carmel, NY10512
RE: Amitabha Pure Land Teachings
Print this form and mail with the check,
or fax directly to (845)225-0447
or send email with this page to bausny@aol.com