PRASADAM SEVA VERIFICATION FORM

SRI MAHAPERIYAVA MANIMANDAPAM NJ USA
NAMMA PERIYAVA KOVIL
ADDRESS: 14 BARLEY SHEAF ROAD, FLEMINGTON, NJ 08822
PHONE : 1-888-SANKARA | EMAIL: SDF@MAHAPERIYAVA.ORG | WEB : HTTPS://MAHAPERIYAVA.ORG
SANATANA DHARMA FOUNDATION INC
(A non-profit tax exempt organization Tax ID #20-4404415)

KIND ATTENTION: The Prasadam Seva at Namma Periyava Kovil is a heartfelt, volunteer-driven initiative. Each month, dedicated volunteers pack over 2,500 packets of prasadam and process them for USPS bulk mailing. Devotees, ranging from 8 to 80 years old, put their heart and soul into this service, which involves multiple steps over 15 days to ensure the prasadam reaches your home on time. To streamline and sustain this effort, updating and purging outdated addresses has become essential.

DEVOTEES ALREADY RECEIVING PRASADAM EVERY MONTH, KINDLY PROCEED TO THE FORM BELOW TO CONFIRM YOUR MAILING ADDRESS.

ONLY DEVOTEES WHO CONFIRM THEIR VALID ADDRESS WILL RECEIVE PRASADAM STARTING 2025.

Submission Date:

Devotee Name

First NameLast Name

Current Address

Street Address

Street Address Line 2

CityState

Zip Code

TURN OFF AUTO FILL AND PROCEED FURTHER TO FILL IN POSSIBLE OLD MAILING ADDRESSES

Please Read Carefully:

1. Donations sent through checks may carry a different address than your current residential address and Prasadam may continue be go to the address on your check.

2. You may have moved to new address in the last 5 years.

DEVOTEES ARE REQUESTED TO TAKE THEIR TIME TO FILL OUT THE OLD ADDRESSES IN THE LAST 5 YEARS DURING WHICH YOU MAY HAVE RECEIVED PRASADAM. YOUR INPUTS WILL HELP US CLEAN OUR DATABANK AND MAKE PRASADAM SEVA AN OPTIMAL AND SUSTAINABLE NOBLE INITIATIVE.

Disclaimer: The information collected will be used solely for the purposes of communicating temple events & updates and mailing prasadam. It will not be shared with any third parties under any circumstances.

Old Address 1 if different from current mailing address

Street Address

Street Address Line 2

CityState

Zip Code

Old Address 2 if different from current mailing address

Street Address

Street Address Line 2

CityState

Zip Code

Old Address 3 if different from current mailing address

Street Address

Street Address Line 2

CityState

Zip Code

Additional Comments (if any)

Email

example@example.com

Phone Number (Mobile Number preferably Whatsapp Enabled)

Please enter a valid phone number.Format: (000) 000-0000.

VAMSA VRUKSHAM

Vasudhaiva Kutumbakam (वसुधैव कुटुम्बकम) is a Sanskrit word, a philosophy that inculcates an understanding that the whole world is one family ...

Through Vamsa Vruksham, we at NammaPeriyavaKovil would like to keep devotees across the world connected by archiving the Native Place, Kula Deivam Kovil information. Be part of VAMSA VRUKSHAM...

What is your native place / ancestors purveekam ?

NOT MANDATORY. If you prefer, you can share details on your native village, near by landmark and as much info as possible

What is your Kula Dheivam Kovil ?

NOT MANDATORY. If you prefer, you can share details on your Kula Dheivam village, near by landmark and as much info as possible

Gothram, Nakshatram Details

Please enter Name, Nakshatram, Rasi & Gothram of your family members below...

Rows	Name	Nakshtram	Rasi	Gotram
1
2
3
4