**THIS FORM IS FOR AT MATHA EVENT REGISTRATION ONLY** - March 23rd 2025 Monthly Celebrations

**THIS FORM IS FOR AT MATHA EVENT REGISTRATION ONLY** April 27th 2025 Monthly Celebrations @Matha
Please enter your email address and click 'Look Me Up'
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Special Event
Sri Rama Navami & Sri Hanumadh Jayanthi celebrations
Morning
Yes, I am an annual/monthly donorNo, I am not an annual/monthly donor but will be happy to become a donor. Please let me know how to signup
Yes, I am a volunteer nowNo, I am not a volunteer but will be a blessing to be one. Please let me know how to signup
Annual / Monthly Donors (min $51/month) - Seva Options

Panchamruta Abhisheka - FREE
Seva Options

Sri Rama Taraka Homa - $51 (Please wear traditional dhoti)Flowers Donation - $31Anna Dana - $51Panchamruta Abhisheka - $51Sampoorna Seva - $151FREE Entry
Theertha Prasada (Morning)
Morning Prasada - (Adults and Kids Ages 13+)*
Morning Prasada - (Kids - Age below 13)
Evening
If you are planning to visit Matha in the evening, please specify how many will be visiting as well for Food planning purposes

Darshan
Theertha Prasada (Evening)
Evening Prasada - (Adults and Kids Ages 13+)*
Evening Prasada - (Kids - Age below 13)

Seva Options Total Amount to Charge

USDDescription

I, {name}, as a cardholder, hereby authorize NE SRS Brundavan Inc to charge my credit card and confirm that the information for the credit card is complete and accurate.
Date

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Date
Signature

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**THIS FORM IS FOR AT MATHA EVENT REGISTRATION ONLY** April 27th 2025 Monthly Celebrations @Matha