Secure Online Donation Three Payment Methods • Internet Banking facilitated by POLi • Internet Banking (manually) • Secure PayPal (using a credit card or Paypal account) More About POLi facilitated Internet Banking POLi is a safe, secure and convenient way to pay. It lets you use your Internet Banking to make the payment straight away. We also receive notification of your completed payment, making it easy to confirm and record. POLi works seamlessly with all major New Zealand and Australian banks. POLi is used by Air New Zealand, Qantas, Virgin Australia, NZTA, government agencies, The Warehouse, PB Technologies, Microsoft, Intercity, and other online retailers. To learn more about paying using POLi visit: www.polipay.co.nz/ Donation DetailsPlease enter donation amounts below. General Donation toward Centre Expenses Maintaining the DCI Jewel (Centre Maintenance) DCI Sangha Support Fund Guru Rinpoche Statue Ksitigarbha Statue Prayer Wheel for World Peace Stupa Fund 21 Tara Statues Puja / Prayer Request Other Total Amount $ 0.00 Comments/DedicationsPersonal DetailsName* First Last Email* Phone*Address*We need your address to send you a tax receipt! Tax receipts are posted at the end of the financial year. Street Address Address Line 2 City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Payment MethodPlease select your payment method:*Internet Banking facilitated by POLiInternet Banking (manually)PayPal (with a credit card or a PayPal account)Your tax receipt will be provided at the end of the current financial year when donating via POLi, Internet Banking or PayPal. Please also note that PayPal takes a percentage of each donation made.Payment via Internet Banking facilitated by POLiTotal Donation by Internet Banking facilitated by POLi $ 0.00 When you have finished, press ‘Submit', which will take you to the secure POLi payment page. There you can select your bank, and then login securely to your bank to make payment. After successfully completing payment you and DCI will receive a POLi payment notification email.Internet Banking Payment DetailsTotal Donation by Internet Banking $ 0.00 DCI Bank Account Details Name: Dorje Chang Institute Bank: ANZ Account Number: 06-0589-0167320-00 Please mark payment “Donation” + "your name" What date will you pay by internet banking?This will help us to confirm payment has been received.PayPal Payment DetailsTotal to pay via PayPal (with a credit card or PayPal account) $ 0.00 Please note that PayPal take a percentage of each donation in fees.When you press ‘Submit’ below you will be taken to PayPal to process your payment using either a PayPal account or a credit card. To use a credit card press the ‘Pay using your debit or credit card’ link at the bottom of the page.What is the name of the Paypal Account OR name on the credit card you will use to pay with?This will help us to confirm we have received your payment.Join our Mailing List Join our Mailing List If you are already on our mailing list or wish to be added, please leave the box ticked.After you hit the submit button below, please check the following page for a confirmation message (or an error message – if more entries need filling in). Thank you.If the form is complete you will see a confirmation message. This is followed by an automatic email that includes the details of your donation. This means we have received your registration. However if you receive an error message, please fill in the missing information and hit submit again. Please check.