Shirdi Sai Baba Web Site - Sadhguru Shri Sai Maharaj Pooja Sponsporship Form

Sadhguru Shri Sai Nath Maharaj Pooja Sponsorship Form

Send your pooja sponsorship online securely

Note:(*) indicates mandatory fields
(+) indicates required fields when paying by credit card.

Section 1. Tell us about yourselves or head of household, if family pooja sponsorship:
(Please enter all your information accurately since you will be contacted by email or phone for questions if any and prasad will be mailed to the address listed below)

First Name:

Last Name:

Address1:

Address2:

City:

State or Province:

Zip:

Country:

Evening Phone:

Day Phone:

Email ID:

Your Birth Date or Birth Star:

Gothram:

Rashi:

Pooja to be performed on (enter date in mm/dd/yy format):

Section 2. If family sponsorhsip, complete details in this section else skip to next section.

Wedding Date:

Spouse(Include Full Name):

Spouse's Birth Date or Star:

Enter Information about Children or Other Family Members Below:

Relationship	Name	Birth Date or Birth Star

Section 3. Select your choice of pooja and enter payment details:

A. Please Check your choice(s) of Pooja (Prayer)*

Sai Abhishek Pooja ( US $51.00)

Sai Archana Pooja (US $ 21.00)

Sai Sahasranama Pooja (US $ 21.00)

Sai Aarthi Pooja (US $ 11.00)

Special (Annadan, Chaddar, Garland, Mukut, etc)

Specify service required

B. Please enter total of your sponsorship amount US$

C. Please Check Payment Method:

CheckCredit Card *

(If paying by Check, please see instructions at the bottom of the page)

D. For Credit Card Payments:

Check the Type of Credit Card :

Visa Master Card
American Express Discover +

Enter your Credit Card Number:

Enter Credit Card Holder’s Name:

Enter Credit Card Expiration Date(mm/yyyy format):

/ +

I hereby authorize Shirdi Sai Baba Sanstha , to bill my Credit Card as shown above for the donation amount listed above and I promise to pay such amount subject to and in accordance with the agreement governing the use of such card.

Section 4. Write comments if any, sign, date and submit form:

Write comments if any:

Signature :

Signature Date:

/ / *

To sponsor by Credit Card, fill the form and hit the submit button. When you submit, your information will be securely transmitted over the internet using SSL encryption. Alternatively you can fax completed form to : (847) 931-4066.
To sponsor by Check make check payable to "Shirdi Sai Baba Sanstha", print and fill this form and please mail along with check to Shirdi Sai Baba Sanstha, 12N950 Route 47, Hampshire IL 60140, USA

Donations if made in USA are tax deductible under IRS section 501(c)(3). Tax ID 36-4400449. Please consult your tax advisor for details and eligibility

Note:
If you face any technical problems while submitting this form.Contact Us

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