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Hindu Temple of Georgia
General Donation Application Form
 
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Now there is a welcome opportunity for the Hindus to support our Hindu Temple of Georgia a in a grand manner. You could be the General donar to the temple , by the way you could get the  fullest support of Shiva and Balaji .The temple is now personally supported by our Swamiji Sri Sri  Selvam”Siddhar solely and the temple needs very good souls like you to support the temple for many centuries. Please donate generously to the temple.

AUTHORIZATION AGREEMENT FOR AUTOMATIC DEBIT

Donor Name (s):
Address:
email :
Phone No:
Cell No.:
Fax No:
Signature / Date
Signature (Joint Account)

                     I/We authorize Hindu Temple and community center of Georgia Inc., to initiate monthly debit entries from my/our (select one)_____ Checking or _____ Savings account indicated below in the amount indicated below. The debit will occur around 25th of each month. This authority is to remain in full force and effect until  Hindu Temple and community center of Georgia Inc., has received written notification from me (or either of us) of its termination in such time and in such manner as to afford  Hindu Temple and community center of Georgia Inc., a reasonable opportunity to act on it.
Deduction Per Month – $
ACCOUNT IN THE NAME OF
BANK NAME
BRANCH LOCATION
ACCOUNT #
ROUTING #

     

 ALL DONATIONS ARE FEDERAL TAX EXEMPT
 Hindu Temple and community center of  Georgia inc.,-Tax ID # Tax ID:-26-0122103
                                                                          or
 Debit / Credit Card Information:
Card#
Expiry Date (Date/Month /Year)
Amount Authorized

(To be charged  one time / Monthly/ Quarterly / Yearly (Please mark one) 

Please fill out the Pledge form and make check payable to:
 
Hindu temple and community center of Georgia inc.,
 5900, Brook hollow PARKWAY,  Norcross, GA - 30071
**PLEASE ATTACH A VOIDED BLANK CHECK OR DEPOSIT SLIP**
At the end of the year, you will receive a Statement from the Temple stating donated  amount