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Quad City Hindu Temple Ninth Annual Festival Sign-up
 Quad City Hindu Temple Ninth Annual Festival Sign-up
Person Details:
Please Note that * Denotes Required Field!
First Name* : Last Name* :
Home Phone* : Cell Phone :  
Email* :      
Street* : City* :  
State : Zip Code :  
Gothram : Nakshathram :  

Family Details:
First Name Last Name Relationship Gothram Nakshathram


Sponsorship Details:
If you are unable to attend in person, our priest will include your names during sankalpam for your sponsorship. Feel free to contact us at info@qchindutemple.com. Temple will mail Akshata and Kumkum to your address.

(Please select the Kalasa / Event you would like to sponsor)
Kalasa / Event Amount
Golden Kalasa
Every day Homam, abhishekam and Kalyanam (include all events)
$1,501
Silver Kalasa
Every day Homam, any one abhishekam and Kalyanam
$501
Copper Kalasa
One day Homam, any one abhishekam and Kalyanam
$301
Homam - Lakshmi
Friday morning
$101
Homam - Sudarsana
Saturday morning
$101
Homam - Hayagreeva and Saraswathi
Sunday morning
$101
Abhishekam - Sri Lakshmi
Friday morning
$101
Abhishekam - Shiva
Friday evening
$101
Abhishekam - Sri Venkateswra Swami
Saturday morning
$101
Kalyanotsavam $101
Total $
Silver / Copper Kalasa sponsors, please contact priest or front desk with your Homa / Abhishekam preferences


Check Number : Check Date :  



(Please DO NOT send Cash. Pay only at the Temple)

(Please send the Check)

(Please make your check payable to Quad City Hindu Temple)

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Quad City Hindu Temple
Address: 9801 14th St W, Rock Island, IL 61201 (Near Ridgewood Elementary School)
Phone: 309-787-HIND (4463)
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