Life Members / Monthly Donation Members

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Please provide your consent whether to disclose your membership information to any Life member or member of Hindu Temple Society of Mississippi. If you have any questions please contact Secretary of HTSM at Secretary@Htsm.org or contact any HTSM executive board member. HTSM will match the responses, confirm with devotee and keep the records up to date. Please refer to overview of Privacy practices "https://www.justice.gov/opcl/overview-privacy-act-1974-2020-edition/disclosures-third-parties"

We want to assure that no information will be given without your consent. If you did not fill this form, it will assumed as "no" to share.
We encourage you to participate in the AGM which is on Nov-4th between 4:30-6:30 pm.

Email *

Your Full Name *

Contact Phone Number *

HTSM may contact you to confirm

Mailing Address

Consent to disclose your membership information *

Yes, I authorize HTSM board share my membership /contact information to any Life Member or a Member of HTSM

No, I do not authorize HTSM board to disclose /share my membership information to any one.

Send me a copy of my responses.

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