Sachalamurti Seva Online Registration
First Name
Your answer
Last Name
Your answer
Email
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Phone
Format: (Country Code)+Number e.g. (91) 1234567890
Your answer
Address (Shipping Address)
Your answer
City
Your answer
State
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Zip Code / Pin Code
Your answer
Country
Your answer
Seva to Offer
Preferred Date of Offering
All dates are in Indian Standard Time
MM
/
DD
/
YYYY
Where do you wish to offer the Seva?
For online seva - where you will be logging in from?
Please specify if you will be logging in from Home or Office or Temple name, etc - so we know which screen to display during pada puja
Your answer
Submit
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