Donation Print Form for Wat Khemararatanaram

THE CAMBODIAN BUDDHIST SOCIETY OF SAN DIEGO, INC.
A NON-PROFIT CORPORATION

Please fill in your information and print this form attach with your contribution.

First Name:		Last Name:
Address:		City:		State:		Zip:

I would like to support the organization:

Is your donation being made in memory or in honor of someone special? If so, please complete the following:

In Memory of:

In Honor of:

Please send your contribution to:	The Cambodian Buddhist Society of San Diego, Inc.
	3606 47th Street
	San Diego, CA 92105
and make it payable to:	The Cambodian Buddhist Society of San Diego, Inc.

The Cambodian Buddhist Society of San Diego, Inc is a 501 (c)(3) non-profit organization under the regulation of the Internal Revenue Service
All contributions to organization are tax-deductible to the extent provided by law.

Thank you!

3606 47th Street	Phone: (619) 269-3659
San Diego, CA 92105	E mail: wat47@watkhmers.org

THE CAMBODIAN BUDDHIST SOCIETY OF SAN DIEGO, INC. A NON-PROFIT CORPORATION

Thank you!

THE CAMBODIAN BUDDHIST SOCIETY OF SAN DIEGO, INC.
A NON-PROFIT CORPORATION