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Annual Shiva Festival Sign-up
 Annual Shiva 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 :   Keep our names as Anonymous

Family Details:
First Name Last Name Relationship Gothram Display Order


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 sponsorship)

Annual Shiva Festival
Sponsorship Amount
Shiva Festival - Grand Sponsor
$1001.00
Shiva Festival - All Events
$501.00
Shiva Festival - Sahasra Lingarchana
$151.00
Shiva Festival - Rudrabhishekam
$101.00
Shiva Festival - Rudra Homam & Durga Homam
$101.00
Shiva Festival - Shiva Parvathi Kalyanam
$101.00
Shiva Festival - Flowers (Two Days)
$201.00
Shiva Festival - Flowers (One Day)
$101.00
Shiva Festival - Prasadam (Two Days)
$251.00

Total $

Check Number : Check Date :  



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

(Please send the Check)

(Please scan below QR Code or use email contact@qchindutemple.com)


Please make your check payable to: Quad City Hindu Temple
Memo: Annual Shiva Festival

Please mail your check to:
Quad City Hindu Temple
9801 14th St W
Rock Island, IL 61201
(Do NOT send cash by mail)