EBS Support and
Mailing List Information
I would like to be associated with
Ecumenical Buddhist Society in the following way: (Please check the appropriate
payment lines.) Any donation and support is greatly appreciated.
Name: ________________________________________________________________________
Address: ______________________________________________________________________
City, State, Zip: _________________________________________________________________
Phone (home): ___________________ Phone (work): ___________________________________
Email: _________________________________________________________________________
_____
I would like to pledge (payments can me made monthly, quarterly, annually)
(Please circle amount.)
____$10 per month ____$25 per month ____$50 per month Other $_______per_______
_____
I would like to make the following one-time donation (Please circle amount.)
____$25 ____$50 ____$100
Other $___________
_____ I would like to remain on the EBS mailing list and enclose $20 to cover that cost
_____ I cannot contribute at this time, but would like to remain on the mailing list, and will contribute when
I am financially able to do so.
_____ I would like to receive e-mail announcements about upcoming EBS events at my e-mail address:
________________________@ _________________________________
Please make checks out to EBS.
Mail to: Ecumenical Buddhist Society
1015 West 2nd
Street
Suite 108
Little Rock, AR 72201
For more information on any of the programs, call 501-376-7056 or check the EBS website at ebslr.org