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Donation
Information |
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Devotee
Information |
|
[
] Donation $
__________________________________ |
|
Last
Name:_____________________________________
First
Name:____________________________________
Spouse
Name:_________________________________
|
|
Temple
Expansion Project (Sri Rama & Sri Siva
Temple area) |
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Children's
Names (ages): |
|
[
] Donation $_______________ |
|
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Yagnasala
Project |
|
|
|
[
] Donation $ _______________ |
|
|
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Community
Center Project: |
|
Address:
|
|
[
] Donation $ _______________ |
|
______________________________________ |
|
|
|
______________________________________ |
|
Priest
Quarters Project: |
|
______________________________________ |
|
[
] Donation $ _______________ |
|
______________________________________ |
|
|
|
|
Silver
Doors Project: |
|
|
|
[
] Donation $
_______________ |
|
|
|
|
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Telephone
#: __________________________ |
|
Payment
Methods
Check
# ____________________ |
|
E-Mail:
_______________________________ |
|
Visa/MC__________________________________Exp.Date_______ |
|
|
|
|
|
Signature(s)
__________________________ |
|
|
Date:
_________ |
|
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