Please print a copy of this form and send it together with your donation, to the True Buddha Foundation at the address below. We will pass this on to Master Lu, and you will receive a certificate once the initiation ceremony has been completed.

Name:.......................................................................................................(M/F): .................

Address:..................................................................................................................................

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Marital status:.......................... Children: ..........................

Profession: .................................................... Religion: ...................................................

Phone no:.................................................. Email address.................................................

Donation by obligation:............................

Date:...................................................