PDF Donation Form - USA Shaolin Temple

Many people are drawn to the USA Shaolin Temple by
the allure of learning legendary Shaolin martial arts from
a true master. We stay because of Sifu’s dynamic spirit,
his Chan Buddhist message of mutual respect and
understanding and the diverse and welcoming community
the Temple offers. As a result, we are quickly outgrowing
our existing leased space in Manhattan.
We have launched a capital campaign to raise the funds
we need to build a new Temple in upstate New York while
maintaining a presence in Manhattan. The new Temple
will allow our community to grow by offering more
classes, providing room and board, hosting summits
and other special events, running corporate retreats
and other team building programs, and expanding our
outreach to give more young people from economically
disadvantaged backgrounds an opportunity to train.
Once the Temple has room to grow, Sifu will be able
to share the teachings of Shaolin with anyone who is
willing to train hard and learn. In this way, the Temple
will preserve the Shaolin legacy and spread its universal
message: Strengthen your mind and body, understand
yourself so that you can understand others, and help
yourself so that you can help others.
During this historic time, we need the support of everyone
who recognizes the Temple’s power to promote peace
and harmony throughout the world by encouraging
people to use their individual and collective chi (energy)
in productive ways in all aspects of their lives. We thank
you for contributing what you can.
678 Broadway, 3rd Floor
New York, NY 10012
Since my first visit to upstate New York, with its rolling
hills, lakes, streams and wildlife amazingly similar to
my birthplace in China, I have envisioned creating an
authentic Shaolin Temple that captures the essence of
the original Shaolin Temple in China and embraces the
unique vitality and diversity of New York. Please join me
as we build a new Temple and a new life for ourselves
and the world. Amitabha.
— Sifu Shi Yan Ming
Founder/Abbot, USA Shaolin Temple
DONATION LEVELS
NAME
LEVEL ONE
ADDRESS
TRAIN HARDER
$10 (100% Tax Deductible)
CITY, STATE, ZIP
MORE CHI
$25 (100% Tax Deductible)
PHONE: DAY, EVENING, MOBILE
MERRY XMAS
$50 (100% Tax Deductible)
HAPPY NEW YEAR
$100 ($85 Tax Deductible)
• New Temple New Life
Commemorative T-Shirt
LOHAN
$250 ($220 Tax Deductible)
• All of the above, plus
• New Temple New Life
Commemorative Athletic Towel
EMAIL
FLAG MOUNTAIN
$500 ($450 tax deductible)
• All of the above, plus
• Secrets of the Warrior’s Power DVD
autographed by Sifu Shi Yan Ming
• Invitation to Grand Opening
Reception at new Temple
STAMP MOUNTAIN
$1000 ($850 tax deductible)
• All of the above, plus
• Private Lesson with
Sifu Shi Yan Ming
SWORD MOUNTAIN
$5000 ($3850 tax deductible)
• All of the above, plus
• 1 Year Tuition at USA Shaolin
Temple
The Temple is a place where I, like so many others, have
found compassion, happiness and inspiration. It is a
place that asks only that you give your best to receive
the best everyone else has to offer.
– Gay Haubner, Writer and Temple Student
I am so happy to train with people from such diverse
racial, cultural, religious and economic backgrounds.
I am struck by the seriousness of many of the students
and the way they support each other. It is clear Sifu
embodies and communicates an ancient tradition, a
depth of power and brightness that everyone, in their
unique identity, feels and shares.
– Ellen Hwalan, Artist, Yoga Instructor
and Temple Student
When I think back on the person I was before I came to
the Temple, I am amazed by how greatly I have changed.
I could never be the way I was. It seems I am no longer
capable of being lazy.
– Joe Simonsen, College Student
and Temple Disciple
DRUM MOUNTAIN
$10,000 ($8850 tax deductible)
• All of the above, plus
• Permanent acknowledgement of
your generous support on display
at the new Temple
BELL MOUNTAIN
$25,000 ($23,850 tax deductible)
• All of the above, plus
• Invitation for you and a guest to
an annual private celebration with
Sifu Shi Yan Ming
HERE IS MY TAX-DEDUCTIBLE DONATION OF:
$10
$25
$50
$100
$250
$500
$1000
$5000
$10,000
$25,000
Train Harder
More Chi
Merry Xmas
Happy New Year
Lohan
Flag Mountain
Stamp Mountain
Sword Mountain
Drum Mountain
Bell Mountain
$50,000
$100,000
$250,000
$500,000
$1,000,000
Snake Style
Crane Style
Leopard Style
Tiger Style
Dragon Style
Here is my full payment.
I will make (2 or 3) annual payments beginning on
Enclosed is my check made payable to USA Shaolin Temple.
Please charge $
MasterCard Visa
Amex
CARD NUMBER
to my:
Discover
Diner’s Club
EXP DATE
SIGNATURE
This donation is in honor of:
My company will match my donation. A form is enclosed.
Forward stock transfer information for donation of securities.
LEVEL TWO
ANIMAL STYLES:
Gifts may be pledged over a 2–3
year period.
• All of the above, plus
• Naming Opportunities:
A personal tour of the new Temple
with Sifu Shi Yan Ming to select an
area to be permanently named in
your honor.
SNAKE STYLE
$50,000 ($48,850 tax deductible)
PLEASE INDICATE YOUR T-SHIRT SIZE
(donation of $100 or more):
CRANE STYLE
$100,000 ($98,850 tax deductible)
Men’s
XXL
XL
LEOPARD STYLE
$250,000 ($248,850 tax deductible)
Ladies’
M
S
TIGER STYLE
$500,000 ($498,850 tax deductible)
DRAGON STYLE
$1,000,000 ($998,850 tax deductible)
L
M
S
No Gift Option: I would like 100% of my donation to go toward
the New Temple New Life Capital Campaign.
I would like only the following gift(s):