Program Registration

Important:
- For donations related to Chinmaya Balavihar, please proceed to the Balavihar page.
- For service related donations (such as Archana), please proceed to the Services page.
- For general donations, please proceed to the Donation page.
- For membership related donations, please proceed to the Membership page.

Your Donation

$50.00 Participant Registration (Members)

$100.00 Participant Registration (Non-members)

Details

First name *

Last name *

Participant First Name *

Participant Last Name *

Email *

Address *

City *

State *

Postcode *

Phone Number *

Spouse Name

Payment

Choose Your Payment Method

PayPal / Credit Card
Cash / Check

Thank you for your pledge. Please mail a check payable to "Hindu Samaj Temple" to 3 Brown Rd, Wappingers Falls, NY 12590, or hand cash/check to any trustee. For any questions, please email [email protected].