Maha Yagna / Pooja | Sri Gayathri Ashram Inc.

Please Complete The Form Below (fields marked * are required) It is very important to make sure all data entered is correct before submitting.

Ritual for One Person *	Please Select The Type of Yagna
Discussion Language *	Please Select Any One of Eight Languages
Full Name of Ritual Person *
Gender of Ritual Person *
Date of Birth of Ritual Person *
Time of Birth of Ritual Person *	A.M P.M
Place of Birth of Ritual Person (Please Specify Town, City, State and Country)	Place (or) Area (or) City of Birth * Nearest Biggest City of Birth * County / District of Birth State of Birth * Country of Birth *
Please Send Ritual Person Photographs * (Three photographs of different age are required for Ritual / Yagna). So please send it as an attachment by email. ( Photographs Send by JPG or PNG File Format ) (Photos are required for processing your request)	Info@gayathriashram.org or Gayathriashram@gmail.com
Notes (If Any) in detailed?
On behalf of (Your Name) *
How You are Related *
Direct Contact Mobile / Phone, for discussion *
E-Mail *
Payment Methods For Ritual / Pooja *	Choose your payment type, Submit your details and then proceed to payment.
Billing Address – Home (optional)
	No./ Door No. Area / Street City County / District State Zip Country Phone Mobile Fax Email
Billing Address – Office (optional)
	No. / Door No. Area / Street City County / District State Zip Country Phone Mobile Fax Email
Send Holy Prasad & Yantra Through	Home Address Office Address

We will treat any information you provide as confidential and will not disclose it to any third party.

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