長生祿位報名表
Longevity Blessing Registration Form
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                姓名(以十四個字為限) Name(limited to 14 alphabets)
如閣下想收到本寺電郵確認你的捐款及登記,請提供閣下的電郵。
If you wish to receive email acknowledgement of your donation and registration, an email must be provided.
                聯絡人 Name:
                
            
            
                聯絡電話 Phone:
                
            
            
                聯絡電郵 Email:
                
            
        
                聯絡住址 Address:
                
            
        Amount cannot be less than or equal to 0.
                
            
                贊助 Donation:(港元 HKD)
                
            
            