San Jose Buddhist Church Betsuin

640 North Fifth Street, San Jose, CA 95112

Phone (408) 293-9292

Fax (408)293-0433

 

Membership Form

�� I would like to become a member of the San Jose Buddhist Church Betsuin.� I understand that the Betsuin is on a membership pledge system and that a packet of pledge cards will be forwarded to me.

Head of Household:

First Name������������ � Middle � Last

Address����������������

City������������������������ ��������������� State ������������������������� Zip

 

Phone�������������������� ��������������� Email

 

Which groups/organizations are you and your family involved in:

Adult Buddhist Association

Buddhist Women�s Association

Dharma School

�Education

Finance

Historian

Japanese Language School

Membership

Ministerial

Morgan Hill

Property Management

Research and Planning

�Sangha Support Committee

Senshi-kai

Betsuin or Jr. Choir

�Young Buddhist Association

Youth Activities

Others:

 

Which of the above would you be interested in participating?

 

Other Interests? Extra-Curricular Activities?

 

Names of all family members included in this membership (include yourself):

Name (first middle)

Relationship

Birthdate

 

Occupation����������

Would you like to volunteer your talents or time at the Betsuin? Yes No

How?

 

 

Welcome to our Sangha.

 

In Gassho,

San Jose Buddhist Church Betsuin

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