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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 :  
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.

(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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