Donation Form

Name:

Address:

City, State, and Zip:

Phone:

Fax:

E-mail address:

Enclosed is a   $______ donation, a heartfelt contribution to aid the Healing Buddha Foundation - Segyu Gaden Dhargye Ling’s mission of benefiting all beings.

Please mail your donation to:

Healing Buddha Foundation, P.O. Box 87, Sebastopol, CA 95473, U.S.A.