Field of Merit Sponsorship Form Yes, I would like make an offering to the DCI Field of Merit! About This Form• This form can be used to sponsor any amount towards one or more of the current DCI Field of Merit Sponsorship Opportunities. • Payment can be made by: POLi facilitated Internet Banking, Manual Internet Banking or Secure PayPal (using a credit card or Paypal account) • After you select one or more options in the list that you would like to sponsor, the corresponding donation and dedication boxes will then be displayed. • You can include dedications for each of the items you sponsor towards. Please note: If we receive more money than is needed for any particular category then we will use any excess funds for one of the other sponsorship opportunities. Full details of what each of these projects includes, along with pictures, are included on the Field of Merit Sponsorship Information Page. Click here to visit the DCI Field of Merit Information Page.I would like to sponsor the following:Please select one or more options in the list that you would like to sponsor. After you select an option, the corresponding donation and dedication boxes will then be displayed.I would like to sponsor:* Select All New Kṣitigarbha Statue Project Geshe-la's Room Reinforcements, Repair and Repaint Stupa, Veranda and Courtyard Uplift Clear Outdoor Blinds for Veranda Brush Stick Fencing for Buddha Garden Sangha Kitchen Sink Tap Replacement Sponsorship Amount(s)Please enter donation amount(s) you wish to offer.Sponsorship Amount for Kṣitigarbha Project Sponsorship Amount for Geshe-la's Room Reinforcements, Repair and Repaint Sponsorship Amount for Stupa, Veranda and Courtyard Uplift Sponsorship Amount for Clear Outdoor Blinds for Veranda Sponsorship Amount for Brush Stick Fencing for Buddha Garden and also Waterblast and Repaint the Top of the Golden Yellow Roofs of the Three Buddha Houses in Front Garden Sponsorship Amount for Sangha Kitchen Sink Tap Replacement This tap is also used for water bowl offerings and DCI events that make use of the upstairs kitchen.Total Field of Merit Sponsorship Amount $ 0.00 Field of Merit Sponsorship DedicationsPlease enter the dedications that you would like us to include at a DCI Puja. This can include names and/or other details / wishes / prayers for those persons. For example: prayers for good health, success, removal of obstacles, help with spiritual practice, prayers for a good rebirth, etc.). Dedications with your donation to the New Kṣitigarbha Statue Project Dedications with your donation to Geshe-la's Room Reinforcements, Repair and Repaint Dedications with your donation for Stupa, Veranda and Courtyard Uplift Dedications with your donation for Clear Outdoor Blinds for Veranda Dedications with your donation for Brush Stick Fencing for Buddha Garden and Waterblast and Repaint the Golden Yellow Roofs of the Three Buddha Houses in front Garden Dedications with your donation for the Sangha Kitchen Sink Tap ReplacementAdditional Comments / RequestsPersonal DetailsName* First Last Email* Phone* Address*We need your address to send you a tax receipt. Tax receipts are distributed 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 ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Payment OptionsPayment Method* POLi facilitated Internet Banking (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 Banking Payment DetailsTotal 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 “Field of Merit” + "your name" What date will you pay by internet banking?* This will help us to confirm payment has been received.Internet Banking facilitated by POLiTotal Sponsorship Amount to pay by POLi facilitated Internet Banking $ 0.00 When you have finished filling in this form, press the ‘Click to Make Your Offering to the DCI Field of Merit!’ button at the bottom of the page, 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.Secure PayPal Payment DetailsTotal Sponsorship Amount to pay by PayPal / Credit Card $ 0.00 When you press the ‘Click to Make Your Offering to the DCI Field of Merit!’ 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.Cash / Cheque Payment DetailsTotal Sponsorship Amount to pay by Cash / Cheque $ 0.00 When would you like to pay by Cash / Cheque?* I will contact the office to arrange a time to make my donation. I will arrive at least 15 minutes prior to a scheduled DCI class, puja or other event to make my donation by cash or cheque. I will post a cheque to the Institute. There are three ways to best contact our office to arrange a date/time to make your donation in advance. • Email us: email@example.com • 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 Make Your Offering to the DCI Field of Merit!" 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 Field of Merit Sponsorship and dedications! 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 Make Your Offering to the DCI Field of Merit!" again. Please check.