PLEDGE FORM
Sri Vaikunta Seetharama Temple
Email *
ఇంటి పేరు Family Name
పూర్తి పేరు Full Name *
Mobile *
House Phone
Home Address *
Postcode
City *
State *
Country *
IC/Passport No
సేవా ప్రతిజ్ఞ SEVA PLEDGE *
Captionless Image
Required
Quantity Pledged
Any Other Amount
Installment
Clear selection
Serial Number
Person in charge
Thank you very much for your pledge to contribute towards our SRI VAIKUNTTA SITARAMA DEVALAYAMU. Kindly bank in your payment to the below account and Whatsapp a copy of the banking slip to +60147172779 for our record purpose.
 
Account Name: Persatuan Penganut Hindu Dewa Sita Rama Shah Alam

Account Number
MBB : 512277611763
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy