Vesak 2009 Reception of Relics of the Buddha 2

DONATION FORM

Vesak 2009 Reception of Relics of the Buddha
Return to UBF Grande Pagode - Route de la Ceinture du Lac Dausmesnil – 75012 PARIS

Name of organization or individual_____________________________

Name of person responsible for the center_______________________________ Address_____________________________________________________
Postal or ZIP code_____________
City/Town, State_________________________

Telephone Number________________________
e-mail__________________________________


I would like to offer a donation of _____________________Euros to be used for this historic event.

□ check to UBF □ cash □ transfer to the following account:

Crédit Mutuel – National Identifier for bank account
RIB-Banque – Guichet - No Compte - Clé - Dévise – Domiciliation Bank ID Teller Account No. Code Currency Paying Bank
10278 04102 00020060041 - 68 EUR - CCM PARIS
8E LA MADELEINE
International bank account ID – IBAN (International Bank Account No.)
BIC (Bank Identifier Code) - FR 76 1027 8041 0200 0200 6004 168 -CMCIFR2A

□ I wish to receive a receipt.