Date :        Sr. No. (Office Use Only) 

First name
Last name
Street address
Address (cont.)
City
State
Zip
Work Phone
Home Phone
FAX
E-mail
Select type of service with minimum donation requested:
At Temple  At Home ARCHANA (per deity) $11.00 NA ABISHEK $31.00 NA SHRADHA $51.00 $101.00 HAVAN $51.00 $101.00 HAIR OFFERING (Kesh Sanskari) $31.00 $101.00 SAHASRANAMA ARCHANA $25.00 $101.00 SATYANARAYANA PUJA $51.00 $101.00 VAHANA (NEW CAR) PUJA $25.00 NA UPANAYANA (Thread Ceremony) $151.00 $201.00 NAMAKARNA (Naming) $25.00 $101.00 WEDDING $400.00 $400.00
Date Needed. :           Time Needed :
Priest's Name :  Sri Chandramouli Sri Acharulu Sri Sharma Sri Shukla         At Temple/Home :  Temple Home
Total Donation :                   Aarti Donation :
Comments and Suggestions :

      

Paying by Check : Click the Print button on your browser to print the form, Sign the form and mail the check to D/FW Hindu Temple Society, P.O. Box 154246, Irving, TX 75015-4246.