Durga Puja 2020 &#8211; Pre Registration &#8211; Ananda Mandir

Grand Sponsor - Durga Puja'23

Grand Sponsor Pre-Registration
Ananda Mandir runs on your generous donations

For any help please contact info@anandamandir.org or call 609.306.6580
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Choose the day(s)*

Sosthi (Oct 20 - Fri)Saptami (Oct 21 - Sat)Astami (Oct 22 - Sun)Nabami (Oct 23 - Mon)Dasami (Oct 24 - Tue)
Sosthi (Oct 20 - Fri)
Choose time slot
Number of attendee(s) including self (6:00 - 6:55)*
Number of attendee(s) including self (7:00 - 7:55)*
Number of attendee(s) including self (8:00 - 8:55)*
Saptami (Oct 21 - Sat)
Choose time slot
Number of attendee(s) including self (9:00 - 9:55)*
Number of attendee(s) including self (10:00 - 10:55)*
Number of attendee(s) including self (11:00 - 11:55)*
Number of attendee(s) including self (12:00 - 12:55)*
Number of attendee(s) including self (1:00 - 1:55)*
Number of attendee(s) including self (5:00 - 5:55)*
Number of attendee(s) including self (6:00 - 6:55)*
Number of attendee(s) including self (7:00 - 7:55)*
Number of attendee(s) including self (8:00 - 8:55)*
Ashtomi (Oct 22 - Sun)
Choose time slot
Number of attendee(s) including self (9:00 - 9:55)*
Number of attendee(s) including self (10:00 - 10:55)*
Number of attendee(s) including self (11:00 - 11:55)*
Number of attendee(s) including self (12:00 - 12:55)*
Number of attendee(s) including self (01:00 - 01:55)*
Number of attendee(s) including self (05:00 - 05:55)*
Number of attendee(s) including self (06:00 - 06:55)*
Number of attendee(s) including self (07:00 - 07:55)*
Number of attendee(s) including self (08:00 - 08:55)*
Nobomi (Oct 23 - Mon)
Choose time slot
Number of attendee(s) including self (9:00 - 9:55)*
Number of attendee(s) including self (10:00 - 10:55)*
Number of attendee(s) including self (11:00 - 11:55)*
Number of attendee(s) including self (12:00 - 12:55)*
Number of attendee(s) including self (01:00 - 01:55)*
Number of attendee(s) including self (05:00 - 05:55)*
Number of attendee(s) including self (06:00 - 06:55)*
Number of attendee(s) including self (07:00 - 07:55)*
Number of attendee(s) including self (08:00 - 08:55)*
Doshomi (Oct 24 - Tue)
Choose time slot
Number of attendee(s) including self (9:00 - 9:55)*
Number of attendee(s) including self (10:00 - 10:55)*
Number of attendee(s) including self (11:00 - 11:55)*
Number of attendee(s) including self (12:00 - 12:55)*
Number of attendee(s) including self (01:00 - 01:55)*
Number of attendee(s) including self (05:00 - 05:55)*
Number of attendee(s) including self (06:00 - 06:55)*
Number of attendee(s) including self (07:00 - 07:55)*
Number of attendee(s) including self (08:00 - 08:55)*
Attendee 1 (Self)

First NameLast Name
Gotro of Attendee 1
Attendee 2

First NameLast Name
Gotro of Attendee 2
Attendee 3

First NameLast Name
Gotro of Attendee 3
Attendee 4

First NameLast Name
Gotro of Attendee 4
Max Number of attendees
QR Code Generator
Separator
Payment

Credit CardCheck
Check Holder Name
Issuer Bank
Check Number
Issued Date

MonthDayYear
Date
Check given to
Form entered by
Process Date

MonthDayYear
Date
Check Amount ($)
Suggested Minimum Donation $1,000
Check Processed

YesNo
Number of names to be included in Puja Offering
Do not include the attendee name(s) - they are already included
Puja Offering Name 1

First NameLast Name
Gotro of Name 1
Puja Offering Name 2

First NameLast Name
Gotro of Name 2
Puja Offering Name 3

First NameLast Name
Gotro of Name 3
All attendees over 12 years vaccinated*
All above 12 years needs to be vaccinated - Please bring in the proof with Photo ID
Please verify that you are human*
Suggested Donation ($)*

prevnext( X )
USDSuggested Minimum Donation $1,000
Final Amount
Should be Empty:

Grand Sponsor - Durga Puja'23

Ananda Mandir runs on your generous donations