Kali Puja'26
Pre-Registration
Registration Type
Platinum
Gold
Silver
Bronze
Darshan
Online
Registration Ref Number
Ananda Mandir runs on your generous donations
For any help please contact info@anandamandir.org or call 609.306.6580
Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
Gotro
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Time Slot
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
9:00 PM to 9:55 PM
10:00 PM to 10:55 PM
11:00 PM to 11:55 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)
*
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)
*
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
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Check/Cash
Check Holder Name
Issuer Bank
Check Number
Issued Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Check given to
Form entered by
Process Date
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Check Amount ($)
Check Processed
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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 $
Platinum: $1,000; Gold: $500; Silver: $350; Bronze: $200; Darshan: $75; Online: $50
Additional Donation $
Ananda Mandir runs on your generous donations
Final Total
Form Submission ID
Total Amount $
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