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Welcome to Sri Panchamukha Hanuman Temple

Event Registration

Participant Details

First Name *

Last Name *

Email Address *

Phone Number *

Gotram*

Address Line - 1 *

Address Line - 2

City *

State

ZipCode

Additional info * (You can enter your Nakshatram and other details here)

Would you like to volunteer for this event? Yes/No

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Registration Category:

Child

Member Amount :

$66.00

Count

Amount:

$0

Registration Category:

Adult

Member Amount :

$10.00

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Amount:

$0

Payment Method *

Total Amount

0

Payment details

Card *

Card Name *

Exp.Month *

Exp.Year *

Cvv*

we do not store any credit card Information and

Payments securely processed by:

Total Amount

0

You will recieve a confirmation email once the payment is credited to Telugu Association Tool account. Please follow-up with your Telugu Association Tool contact, if you did not recieve email with in seven days..

Upload the cheque image to Sri Panchamukha Hanuman Temple

Upload cheque image here

Handed the cash/cheque to - Name of the Hanuman Temple board

Total Amount

0

Here are the Zelle details you should know for the transfer

Zelle Name: Sri Panchamukha Hanuman Temple

Zelle Email Id: zelle@hanumantemplela.org

Total Amount

0

Please enter the name on the bank account, Note and Reference used for the Zelle transaction & Partner Name here:

Zelle Transaction*

Person Name*

Upload receipt image here*

Total Amount

0

Total Amount

0

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