Registration form – Services – Sri Balaji Temple

Netherlands

Pooja Services, SVK Vedic Center, Oirschot

Please visit the Pooja Services Page for details

Please fill-in all the steps to complete the registration. Note:

We are collecting email & phone number only for communications relating to this event and will not be used for any other purpose

Photos and videos captured during the event may be posted on social media

With your registration, you provide your consent to the above points

First Name*

Last Name*

Email*

Phone# (Include + prefix)*

City*

Please select

Please select
Year-long All Seva – € 516
Year-long Archana Seva – € 416
Year-long Monthly Archana – € 108
Temple Maintenance Donation for a month – € 21
Request Vahana (Vehicle) Pooja
Request Family Event Celebration
Tulabharam

Select a service*

Please visit the Pooja Services Page for details

Gothram*

required for selected seva

Family members name

Names of family members for archana. Separate using comma

Service Date*

Subscribe to receive monthly payment link

I would like to receive monthly payment link for contributing towards temple maintenance

Name as in your bank card (for payment reconciliation)*

Note:On confirmation you will be redirected to payment gateway to make payment. Your registration will be treated as complete only after successful payment.

Total Amount to Pay(€):

A copy of your responses will be emailed to the address you provided.