Donation and Pledge Form

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The Hindu Temple Association Of Eastern Iowa
P.O Box 10573, Cedar Rapids, Iowa 52410-0573
http://www.iowahindutemple.org
(A Not-For-Profit Organization-Established in 2000. Please call 319-396-3196 to obtain IRS Tax Id)

 

Personal Information:
Name: ___________________________________ Spouses Name:__________________________
Childs Name(1): __________________________ Date of Birth______________________________
Childs Name(2): __________________________ Date of Birth______________________________
Childs Name(3): ___________________________ Date of Birth_______________________________
Address:__________________________
__________________________________
E-Mail: ______________________________
Phone: _______________________________

 

Pledge Information:
Amount : $____________________ to be paid in ____________years.
Amount pledged for the year 2008 $_________________ Amount pledged for year 2009 $__________________    2010 $__________________
Amount per month from 2008(for maintenance) $__________________ For a Period _____________years

 

Payment Information (For Construction):
Please make check payable to: Hindu Temple Association of Eastern Iowa
Enclosed is a check for: __________________,
Balance to be paid in equal installments preferably every three months $_______________



 

Comments:(if any)
 
______________________________________________________________
______________________________________________________________
Date__________________ Place____________________________ Signature____________________________________
Please complete this form and mail it to the above address. It is your Temple. Please pledge generously. Your Donation is Tax deductible.