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.Total Monthly Amount Price: $ 0.00 Personal DetailsName* First Last Partner / Family Names*Please enter the name of your partner or the names of your family members 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 State / Province / Region 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* Automatic Monthly Payment from your bank account (Preferred) Monthly Payments via Paypal (PayPal account or Credit Card). (Please note Paypal take a percentage of each payment) Cash paid in person (6 months or 1 year’s payment to be paid in advance) 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.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.CashHow many months do you want to pay for?* 6 Months 12 Months Cash Amount Price: $ 0.00