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Kumbhabhishekam for Lord Sri Rama and Lord Sri Krishna Shrine Sign-up
Kumbhabhishekam (Lord Sri Rama & Lord Sri Krishna) Sign-up
Person Details:
Please Note that
*
Denotes Required Field!
First Name
*
:
Last Name
*
:
Home Phone
*
:
Cell Phone
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Email
*
:
Street
*
:
City
*
:
State
:
Zip Code
:
Gothram
:
Nakshathram
:
Family Details:
First Name
Last Name
Relationship
Gothram
Nakshathram
Grand-Father
Grand-Mother
Father
Mother
Husband
Wife
Son
Daughter
Grand-Son
Grand-Daughter
Daughter-in-law
Son-in-law
Brother
Sister
Father-in-Law
Mother-in-Law
Brother-in-Law
Sister-in-Law
Grand-Father
Grand-Mother
Father
Mother
Husband
Wife
Son
Daughter
Grand-Son
Grand-Daughter
Daughter-in-law
Son-in-law
Brother
Sister
Father-in-Law
Mother-in-Law
Brother-in-Law
Sister-in-Law
Grand-Father
Grand-Mother
Father
Mother
Husband
Wife
Son
Daughter
Grand-Son
Grand-Daughter
Daughter-in-law
Son-in-law
Brother
Sister
Father-in-Law
Mother-in-Law
Brother-in-Law
Sister-in-Law
Grand-Father
Grand-Mother
Father
Mother
Husband
Wife
Son
Daughter
Grand-Son
Grand-Daughter
Daughter-in-law
Son-in-law
Brother
Sister
Father-in-Law
Mother-in-Law
Brother-in-Law
Sister-in-Law
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.
(Please select the Event you would like to sponsor)
Event
Amount
Grand Sponsorship
All events Sponsorship
$1,001
Three Days Sponsor
Three Days events Sponsorship
$501
Two Days Sponsor
Two Days events Sponsorship
$351
One Day Sponsor
One Day events Sponsorship
$201
Homam
Homam Sponsorship
$101
Abhishekam
Abhishekam Sponsorship
$101
Kalyanam
Kalyanam
$101
Total
$
Check Number
:
Check Date
:
(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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