Bhagavati Seva Pooja Registration

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Namah Shivaya, Please fill this form to register for the Puja on August 11th in Woodbridge, CT . Please enter all details

Name *

Address (Street Number) *

City *

State *

Zipcode *

Country

Phone Number *

Email *

Birth date (if you do not have a birth star)

YYYY

Birth time (if you do not have a birth star)

Time

Birth Place (if you do not have a birth star)

Birth Star

To determine your birth star, use this link:. http://www.prokerala.com/astrology/nakshatra-finder/

If you would like to register for the Pooja:

Lakshmi Puja will be conducted in the name of the person who registers. You may provide name(s) of family members and their birth star on the day of the pooja. In case you want to register separately for a family member, you can fill up the form again.

Puja available *

Bhagavati Seva - for auspisciousness and spiritual benefits - 100 USD

Required

If you may want to make any additional donation for ETW Charities, enter the amount below:

100% of the proceeds go towards supporting the destitute and the poor through Embracing the World charities. To read more please visit www.embracingtheworld.org.

I would like to pay by: *

Check (at the venue)

Cash (at the venue)

Credit card - at the venue

Credit card - by phone earlier (We may call you a day or two before the Pooja))

Other:

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