Gloden Bricks Reservation Form

Golden Bricks Reservation Form

Etch yours' or your loved ones' names for posterity in Gold on the Golden Brick Wall of the West End Buddhist Temple and Meditation Centre.

Devotees may dedicate Golden Bricks in remembrance of those deceased and in honor of those living as well!

Your kind donation will go a long way in improving your beloved Temple.

Thank you for your valued donation!

Please fill the below form and submit.

Salutation

Frist Name

Last Name

Name of the Spouse/Company

Donor Email

Address

City/Town

Province

Post Code

Country

Primary Phone

Secondary/Business/Cell Phone

Number of Golden Bricks Being Reserved

In Memory of or Dedicated To (What would be inscribed on each brick)