(A Non-profit Organization - Tax Exemption Id #74-3162022)
Mandior Nirman Nidhi / Construction Fund Form
Please make check payable to "Shirdi Sai Mandir” and mail to Above Address
Here is my contribution to make Shirdi Sai Mandir in Northern Virginia a reality.
Amount Of Contribution
Check One Box
$ 1,001 []
$ 5,001 []
$ 10,001 []
$ 15,001 []
Installments of $ 501 []
$ Other [] $ _____________
Today's Date
Family Gothram
Full Name
Spouse Name
House Address
City
State & Zip
Phone Number
Email
Requested Inscription
Inscription Such As:
In Honor of . . .
In Memory of . . .
Note: All contributions from this Program will mainly go towards acquiring a permanent place for mandir.
