Sanitation Supplies Sponsorship Yes, I would like to sponsor!About This Form• This form can be used to sponsor ANY amount towards our precautions related to the Coronavirus including: sponsoring the purchase of extra sanitation and protection supplies at DCI (eco disposable cups, paper towels, hand soap, hand sanitiser, gloves, masks, cleaning supplies, etc.). • Payment can be made by: Internet Banking facilitated by POLi, Internet Banking arranged individually or Secure PayPal (using a credit card or Paypal account). I would like to sponsor the following:Please select one or more of the following:I would like to sponsor:* Sponsor the Purchase of Extra Sanitation and Protection Supplies at DCI (facemasks, gloves, handsoap, disinfectant, paper towels, etc.) Sponsorship Amount(s)Please enter donation amount(s) below for each that you would like to sponsor.Sponsorship Amount for Offerings Sponsorship Amount for Dedication Prayers Sponsorship Amount for Purchase of Extra Sanitation Supplies at DCI (This includes protection and sanitation supplies such as facemasks, gloves, handsoap, disinfectant, paper towels, paper cups, individually wrapped sugar/tea/coffee, and other things needed to support safety at this time, etc.)Total Sponsorship Amount $ 0.00 Additional Comments / RequestsPersonal 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. If you are submitting from New Zealand you will still need to put something in the State / Province / Region section (you can put your region or repeat your city if you like). Street Address Address Line 2 City State / Province / Region 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 OptionsPayment Method* Internet Banking - facilitated by POLi (Most Preferred) Internet Banking - depositing your offering directly into DCI's bank account (Preferred) PayPal - using either a PayPal account or a Credit Card. (Please note Paypal take a percentage of each payment) Your tax receipt will be provided at the end of the current financial year if paying by Internet Banking or PayPal. If paying by cash or cheque your tax receipt will be written out and given to you on receipt of payment.Internet BankingTotal Sponsorship Amount to pay by Internet Banking $ 0.00 DCI Bank Account Details Name: Dorje Chang Institute Bank: ANZ Account Number: 06-0589-0167320-00 Please mark payment “SanSupp” + "your name" What date will you pay by internet banking?* This will help us to confirm payment has been received.Secure PayPal Payment DetailsTotal Sponsorship Amount $ 0.00 When you press the ‘Click to Sponsor’ button below you will be taken to the Secure PayPal site 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 that PayPal 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.Cheque Payment DetailsTotal Sponsorship Amount to pay by Cheque $ 0.00 When would you like to pay by Cash / Cheque?* I will post a cheque to the Institute. Sorry, at this time we cannot accept payments in person as the Institute is closed.There are three ways to best contact our office to arrange a date/time to make your donation in advance. • Email us: firstname.lastname@example.org • Call us: 09 8288776 or 09 8283333 • Comments Box Below You are also welcome to use the Comments box at the bottom of the page to propose date(s) and time(s) you would like to come in to make your donation in person. • Talk to us prior to an upcoming class/puja/event. You are welcome to talk to one of our staff at an upcoming event to arrange a time. Please try to bring exact change if paying your donation in cash. If paying by cheque please make your cheque payable to "Dorje Chang Institute." If paying by cheque please make your cheque payable to "Dorje Chang Institute." Our Address is: Dorje Chang Institute 56 Powell Street Avondale, Auckland 1026If you are already on our mailing list or wish to be added, please leave the box ticked. 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 "Click to Sponsor" 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 saying “Thank you for your sponsorship! We will send you a confirmation email shortly.” This is followed by an automatic email that includes the details of your sponsorship. This means we have received your sponsorship. IF you receive an error message, please fill in the missing information and hit "Click to Sponsor" again. Please check.