Here is my contribution to make Iraivan a reality
All US donations are tax deductible * Please make checks payable to Iraivan Temple Fund.
San Marga Iraivan Temple
107 Kaholalele Road
Kapaa, HI 96746-9304 USA
Phone: (808) 822-3012
Fax: (80 822-4351
e-mail: iraivan@hindu.org
Name : ____________________________________________________________

Address : __________________________________________________________

City, State, Zip: _____________________________________________________

Country: ___________________________________________________________

Phone: _______________________  e-mail: ______________________________

VISA / MC / AMEX# : ________________________________________________

Signature: _____________________Card Expiration Date: __________________

Please charge a regular monthly donation of $_____________ to my credit

card account for the period of ___________________ to ____________________



Quantity of stone you are
sponsoring ($5per pound):
I am enclosing $ __________
for ________ pounds of stone.
Nature of contribution: (Please check the appropriate box.)

I'M A TEMPLE BUILDER
PLEASE PRINT THIS PAGE, FILL IT IN AND MAIL IT TO THE ADDRESS GIVEN  .............. THANK YOU
Self-denial contribution
Monthly Tithe
Spontaneous love offering
Monthly Pledge
Other: _____________