Maruvayil Temple Non-Members Monthly Pooja 
https://maruvayiltemple.weebly.com/pooja
Email *
Shiva Parvathi Kshethram - Monthly Pooja Registration
 ( 1 Pooja per form - Rs 1000/-)
Option A: For Temple Payment, please scan the QR Code. 
Option B: If Phonepe is not available, please use the Bank details to register and pay. Kerala Grameena Bank BR: Onchiyam / VelliKulangara ,                                      A/C : 4068 3101 040333 IFSC: KLGB 0040239 , A/C Holder Name: Maruvayil Sri Shiva Parvathy Kshethram Trust
Full Name *
Your Email, this will be hidden
(If no email, please leave it blank)
Your Phone No, this will be hidden
If No Phone mention as N/A
Your Home Address . 
If you are in India and want the Pooja Prasadam, please fill your address 
What is your Birth Star ?

On which Date  should the Pooja be done? *
MM
/
DD
/
YYYY
What is your birth Month ?
The Amount Paid (It is Rs1,000/- per Pooja)

Please do not Submit if amount is not paid

 *
Transaction ID of payment made
Pooja Status. Please check Pending.
(The Status would be changed by the Maruveyil Temple Team as it gets Scheduled and Completed )
Clear selection
Who referred you ?
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms