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Form
B 3084, Lorong Galing 32, Jalan Haji Ahmad, 25300 Kuantan, Pahang Darul Makmur. T: 019 9682733, 012 9668850 F: 09 5670569 website : www.dudjomdharmahousekuantan.com email : dudjomdh@dudjomdharmahousekuantan.com fb : https://www.facebook.com/groups/DudjomDharmaHouseKuantan/
1. Puja Perfection Sponsor RM 2500 /above. 4. Puja Mani's Treasure Sponsor RM 380 / above 7. Puja Affinity Sponsor RM ______________ Krodikali Purification Puja Lamp Lighting
2. Puja Dharma Protection Sponsor RM 1200 /above. 5. Puja Lotus Sponsor RM 118 /above
20
Naga Offering
Naga Vase Naga Dharma Pills Naga Smoke Powder RM 500 x _______ = RM ___________ RM 50 x ________ = RM ___________ RM 20 x ________ = RM ___________
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Naga Butter Lamp RM 30 x ________ = RM ___________
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ATM 09 5670569,
Remarks :: Please fax THIS form together with your ATM (fund-transfer) slip to: 09 5670569 after you have transferred your payment ; Followed by your personal call, or mail these documents to our Centre or pass them to person-in-charge of our Centre (for Receipt issuance purpose).