BHAVANA SOCIETY DONATION FORM

                            BHAVANA SOCIETY
                            Rt. 1 Box 218-3
                        High View, WV 26808 USA
               Tel: (304) 856-3241    Fax: (304) 856-2111
  
  Yes, I would like to help Bhavana Society's community of 
  enlightenment, and its transmission of the Buddha Dhamma. Enclosed is 
  my contribution:
  
  
  REGULAR DONOR PROGRAM
  ~~~~~~~~~~~~~~~~~~~~~
    I wish to donate $_______ every_____________weeks/months
    
    send me the first donation reminder on this date___________________
    (we will send you a stamped envelope a few days before each 
    donation due date -- for your convenience)
  
  
  I wish to make a one-time donation of $_________
  
  Please make check or money order payable to the Bhavana Society, Inc..
  Contributions to the Bhavana Society are tax deductible in the United 
  States. Thank you!
  
  Name_________________________________________________________________
  
  Address:_____________________________________________________________
  
  _____________________________________________________________________
  
  City_____________________State_______Zip.________Tel:________________