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Membership Form :

First Name : *
Middle Name :
Last Name: *

Spouse's First Name :

Spouse's Last Name :

Children's First Names :

Children's Last Names :

Address(number,street & city): *
zip code(no space or hyphen) : * (Enter Atleast 5 digits)
State: *
Contact Phone No. : * (Residence/Work/Mobile ,Enter Atleast 10 digits)
E-mail(1) : *
E-mail(2) :

Please contact me to volunteer for the temple. So that , I can help in :

(Please fill in activities, tasks etc. of your interest)
Select Amount : * Senior Member : $51 General Member $101 Lifetime Member $1101
Comment Section: * ( Send information to Priest for any Specific Instructions)

Please note: The spouse and the children under the ages of 21 years of a member automatically become members. Each general/annual and life membership donation represents one (1) vote for the election of the members of the Executive Board.

 

  
* The fields marked with asterik sign are Mandatory .