Mandir & Vidya Vikas School picnic Registration Your Name(Required) First Last Email(Required) Phone(Required)Registration ($10 / person) includes food + T-Shirt– T-shirts available for pick up on event day: sizes subject to availability.Select number of people attending(Required)1 IndividualFamily of 2Family of 3Family of 4Family of 5Family of 6Family of 7Family of 8This information will help us with food preparation.Total Billing Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please enter billing address. This should be your credit card billing address.Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name Temple Newsletter Yes I would like to know about future Temple Events. PhoneThis field is for validation purposes and should be left unchanged.
