Support the Vihara by Becoming a Member!

Buddhist Vihara Society, Inc.
5017 16^th Street N.W
Washington, D.C  20011
(202) 723-0773

 Membership Application

Dear Sir,

I, Mr./Mrs/Miss/Dr/Rev (Cricle One)

Address_____________________________________________________

City___________________________            State___________________

Zip______________

Home Phone______________________

Work Phone______________________

I wish to enroll myself as a member of the Washington Buddhist Vihara Society, Inc., and enclose herewith a check for my membership: Life membership $250.00, Annual Standard membership $25.00, Annual Student membership $15.00 (Circle One)

I am a Buddhist/friend of Buddhsim (cricle one)

Date:______________________     Signature_________________________