Dharma Friend Signup Membership DetailsSelect who the membership is for* I am an individual I have a partner / family Select your level of membership* Dharma Friend - $35 per month Vajra Friend - $50+ per month Dharma Friend Amount*If you would like to donate more than $35 per month, please edit the amount belowPlease enter a number greater than or equal to 35.Vajra Friend Amount*If you would like to donate more than $50 per month, please edit the amount abovePlease enter a number greater than or equal to 50.Select your level of membership* Dharma Friend - $50 per month Vajra Friend - $65+ per month Dharma Friend Amount*If you would like to donate more than $50 per month, please edit the amount belowPlease enter a number greater than or equal to 50.Vajra Friend Amount*If you would like to donate more than $65 per month, please edit the amount abovePlease enter a number greater than or equal to 65.Would you like to make your Dharma Friend Support Contributions by monthly payment (most common) or would you like to pay 6 months or 12 months all at once?* Monthly payments 6 months all at once 12 months all at once This field is hidden when viewing the formHidden Number Calculating Total Amount Per Month PledgedTotal Monthly Amount Price: $ 0.00 Total Amount for 6 Months All at Once Price: $ 0.00 Total Amount for 12 Months All at Once Price: $ 0.00 Personal DetailsName* First Last Partner / Family Names*Please enter the name of your partner or the names of your family membersEmail* Phone*Address*We need your address to send you a tax receipt! Tax receipts are posted at the end of the financial year. 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(Please note Paypal take a percentage of each payment) If paying monthly, we request that you set up an automatic payment either through the bank or a monthly payment through PayPal. Cash payments are only possible if paying for 6 or 12 months all at once.Payment Method* Internet Banking (Preferred) PayPal (PayPal account or Credit Card - Please note Paypal take a percentage of each payment) Cash (in person) Automatic Monthly PaymentDCI’s bank account is as follows: Name: Dorje Chang Institute Bank: ANZ Account Number: 06-0589-0167320-00 Please mark auto-pay “Dharma Friend” + "your name" and notify us when payment has been set up.Internet Banking PaymentDCI’s bank account is as follows: Name: Dorje Chang Institute Bank: ANZ Account Number: 06-0589-0167320-00 Please mark auto-pay “Dharma Friend” + "your name" and notify us when payment has been set up.Monthly Payments via PayPalWhen you press ‘Submit’ below you will be taken to PayPal to setup monthly payments 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.Payment via PayPalWhen you press ‘Submit’ below you will be taken to PayPal where you can use either a PayPal account or a credit card to make your contribution. To use a credit card press the ‘Pay using your debit or credit card’ link at the bottom of the page.CashWhen would you like to pay in cash? I will come 15 minutes prior to an already scheduled DCI event. I will contact the office to set a day and time. Please feel free to let us know some days and times that would suit you to come and make your Dharma Friend contribution payment.If you are not yet sure, you are welcome to just send us an email or call us when you know. Thank you!
