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名字 Name of Dedicator

祖先4个姓氏 Please state the 4 surnames of your ancestors.

For 单身 singles：（1.祖父姓氏 Paternal Grandfather，2.祖母姓氏 Paternal Grandmother，3.外祖父姓氏 Maternal Grandfather ，4.外祖母姓氏 Maternal Grandmother）

For 夫妻 couples: （1.男方父亲氏 Husband's father，2. 男方母亲氏 Husband's mother，3.女方父亲氏 Wife's father， 4.女方母亲氏 Wife's mother）

地址(会将贴在蜡烛上) Address (To be placed on candle)：

红牌 Red tablet

名字 To be Dedicated to:

如果您在今世有已经过世的父母亲，请填写这部分 Please fill this section if you have deceased parents of this lifetime

阳上 Name of Dedicator

往生者 Name of Deceased Parent:

1) 大尺寸合家消灾祈福红牌、四姓祖先及冤亲债主超度、今生往生父母、过去七世父母、六道众生超度牌位以及多项标准尺寸超度牌位
Large-size Family Red Blessing Tablet & Yellow Spiritual Tablet for Ancestral & Karmic Creditor, Parents of this Lifetime, Past 7-Lifetime, Sentient Beings of Six Realms; and standard size liberation tablets for multiple beneficiaries

2) 一份九盏灯1 set of 9-Lamp Offering

3) 九九归真九皇爷贺礼及六道众生布施配套各一份，团供食物、药品和金银纸 One set each of Gratitude offering set for 9 Emperor Gods and Benevolence Offering set for Sentient Beings of the 6 Realms, Group offerings of Food, Medicine & Joss Papers

4) 免费赠送玄灵大佛堂三个月消灾祈福红牌及超渡黄牌 Complimentary 3-month Red Blessing & Yellow Spiritual Liberation tablets at Shambhala Happiness World Buddhist Hall