JSGA-Snatra/Samagri Request Form
This form is to request snatra / samagri from the temple
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Request type
Snatra Pooja At Home ($51 for samagri)
Snatra Pooja At Temple
Table,Chairs And Utensils
Snatra Pooja at Home - Samagri
Bhagwan (chauvisi and sidhdhachakra)
Trigadu
Sanatra pooja box
Pickup Date (EST timezone only)
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Dropoff Date (EST timezone only)
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Snatra Pooja at Temple Request Date (EST timezone only)
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Number of Tables if Requested
Number of Chairs if Requested
Enter list of utensils if Requested
e.g. Large Pans - 2
My Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I would like to sponsor Sadharmik Bhakti Lunch ($1250)
Yes
No
Liability Responsibility
*
I understand and acknowledge that temple samagri is provided on a temporary loan basis and must be returned by the agreed-upon drop-off time in the same condition as when it was received. I accept full responsibility for any damage or loss and agree to pay a fee of $25 per day for each day the items are not returned by the designated time. The JSGA Executive Committee reserves the right to inspect the items upon return and to assess any additional charges for damage, loss, or delays.
Below 18 must be signed by parents
Submit
Should be Empty: