Kampuchean Buddhist Society

Watt Khmer Metta

4716 North Winthrop Avenue

Chicago, Illinois 60640

Phone 773-989-0969

 E-Mail: kbsmetta@gmail.com



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Please fill out this form and

First & Last Name:


City: State: Zip Code:


E-Mail Address:

Please make a following selection:

Yes! I would like to become a member: No, one time donation only

Membership Due:  Per Month $   Per Year $

Enclosed is my check:

$5     $10     $15     $20     $25     $30     $35     $40    

$45   $50     Other $


Please send your payment to the above address and make it payable to Kampuchean Buddhist Society.


Thank you for your contribution. We would like to wish you and your family long and happy lives.


 Contributions to Kampuchean Buddhist Society Watt Khmer Metta are tax deductible for Federal Income Tax Purposes.


Drafted by Finance Committee