Than Hsiang Temple Donation Page

Selection	Product	Product Description	Unit Price (RM)	Qty	Subtotal
	Cash Donation	Cash Donation	50
		� Ounce Pure Gold Guan Yin Medallion	4300.00
		� Ounce Pure Gold Guan Yin Medallion	2300.00

First Name :
Last Name :
Designation :	Mr Mrs Ms Mdm Dato Datin
Mailing Address :
Postcode / City / State :
Country :
Contact No :
Email :
Remark :
Product / Official Receipt Delivery Address :
Collect at Than Hsiang Temple: Than Hsiang Buddhist Welfare Association No. 132, Jalan Sultan Azlan Shah, 11900 Bayan Lepas, Penang, Malaysia.