Durga Puja'24
Pre-Registration
Registration Type
Grand Sponsor
5 Days
3 Days
1 Day
Day Darshan
Remote Puja
Registration Ref Number
Ananda Mandir runs on your generous donations
For any help please contact info@anandamandir.org or call 609.306.6580
Name
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First Name
Last Name
Phone Number
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Gotro
Email
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example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Choose 1 day
*
Debi'r Bodhon (Tue, 8th Oct)
Debi'r Adhibash & Amontron (Wed, 9th Oct)
Saptami (Thu, 10th Oct)
Maha Nabami (Fri, 11th Oct)
Bijoya Dashami (Sat, 12th Oct)
Choose 3 days
*
Debi'r Bodhon (Tue, 8th Oct)
Debi'r Adhibash & Amontron (Wed, 9th Oct)
Saptami (Thu, 10th Oct)
Maha Nabami (Fri, 11th Oct)
Bijoya Dashami (Sat, 12th Oct)
Choose 5 days
Debi'r Bodhon (Tue, 8th Oct)
Debi'r Adhibash & Amontron (Wed, 9th Oct)
Saptami (Thu, 10th Oct)
Maha Nabami (Fri, 11th Oct)
Bijoya Dashami (Sat, 12th Oct)
Debi'r Bodhon (Tue, 8th Oct)
Please Select
Will not attend
5:00 PM to 5:55 PM
6:00 PM to 6:55 PM
7:00 PM to 7:55 PM
8:00 PM to 8:55 PM
Choose time slot
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)
*
Debi'r Adhibash & Amontron (Wed, 9th Oct)
Please Select
Will not attend
5:00 PM to 5:55 PM
6:00 PM to 6:55 PM
7:00 PM to 7:55 PM
8:00 PM to 8:55 PM
Choose time slot
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)
*
Saptami (Thu, 10th Oct)
Please Select
Will not attend
9:00 AM to 9:55 AM
10:00 AM to 10:55 AM
11:00 AM to 11:55 AM
12:00 PM to 12:55 PM
01:00 PM to 01:55 PM
5:00 PM to 5:55 PM
6:00 PM to 6:55 PM
7:00 PM to 7:55 PM
8:00 PM to 8:55 PM
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)
*
Maha Nabami (Fri, 11th Oct)
Please Select
Will not attend
9:00 AM to 9:55 AM
10:00 AM to 10:55 AM
11:00 AM to 11:55 AM
12:00 PM to 12:55 PM
01:00 PM to 01:55 PM
5:00 PM to 5:55 PM
6:00 PM to 6:55 PM
7:00 PM to 7:55 PM
8:00 PM to 8:55 PM
Choose time slot
Sandhi Puja: 6:24 AM to 7:12 AM Number of attendee(s) including self
*
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)
*
Bijoya Dashami (Sat, 12th Oct)
Please Select
Will not attend
9:00 AM to 9:55 AM
10:00 AM to 10:55 AM
11:00 AM to 11:55 AM
12:00 PM to 12:55 PM
01:00 PM to 01:55 PM
5:00 PM to 5:55 PM
6:00 PM to 6:55 PM
7:00 PM to 7:55 PM
8:00 PM to 8:55 PM
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 Name
Last Name
Gotro of Attendee 1
Attendee 2
*
First Name
Last Name
Gotro of Attendee 2
Attendee 3
*
First Name
Last Name
Gotro of Attendee 3
Attendee 4
*
First Name
Last Name
Gotro of Attendee 4
Max Number of attendees
Payment
Credit Card
Check
Check Holder Name
Issuer Bank
Check Number
Issued Date
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Month
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Day
Year
Date
Check given to
Form entered by
Process Date
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Day
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Date
Check Amount ($)
Check Processed
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No
Additional Number of names to be included in Puja Offering
Please Select
1
2
3
Do not include the attendee name(s) - they are already included
Puja Offering Name 1
*
First Name
Last Name
Gotro of Name 1
Puja Offering Name 2
*
First Name
Last Name
Gotro of Name 2
Puja Offering Name 3
*
First Name
Last Name
Gotro of Name 3
Minimum Suggested Amount $ (deprecated)
Grand Sponsor: $1,000, 5 Days: $500, 3 Days: $350, 1 Day: $150, DD & Remote: $75
Minimum Suggested Amount $
Grand Sponsor: $1,000, 5 Days: $500, 3 Days: $350, 1 Day: $150, DD & Remote: $75
Additional Donation $
Ananda Mandir runs on your generous donations
Final Total
Form Submission ID
Total Amount $
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