Recurring Monthly Donation

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Name

First

Last

Phone

Mailing Address for tax receipt

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Recurring Donation Towards New Building (Deductions will be made monthly from your credit card).

May we have your consent to publicly acknowledge your donation through announcements at our Mandir events or on our website/social media?

Total Deductions that will be made each month.

$0.00