Registration Form To Visit Phuoc Hue Temple – Lunar New Year 2021 – The United Vietnamese Buddhist Congregation of Australia-New Zealand

Tên và Họ (FullName) *

First

Last

Điện thoại cầm tay - Mobile *

Bạn có bị sốt, ho, đau cổ, khó thở (Do you have a fever, cough, neck pain, trouble breathing)…… ? *

Có (Yes) – “Bạn không đủ điều kiện tham dự, xin hẹn vào dịp khác. Cám ơn (You can't attend, please come again when you are well. Thank you)
Không (No)

Ngày viếng thăm (Date of visit): *

Giờ viếng thăm (Time of visit): *

Số người dưới 18 tuổi tham dự cùng, xin điền Họ Tên (List Fullname of people under 18 years old to attend)

Email Trả lời (Reply)