One Square Foot . . . MANDIR NIRMAN NIDHI

CONTRIBUTION FORM

Yes, I am a mandir Builder.  Here is my contribution to make Shirdi Sai Baba Mandir in Aurora, Illinois a reality.
Amount of contribution (CHECK ONE BOX): 
1 square foot - $ 501   :  (        )
2 square feet - $ 1,001   :  (        )
10 square feet - $ 5, 001  :  (        )
20 square feet - $ 10,001  :  (        )
Others - multiples of $ 501  :  (        ) $ _____________
Please make check payable to "Sai Samsthan USA" and mail to "SAI SAMSTHAN USA - 1101 Foran Lane, Aurora, IL-60506, USA"
TODAY'S DATE :
Name :
Street address :
Address (cont.) :
City :
State/Province :
Zip/Postal code :
Country (if other than USA) :
Home Phone (          ) -             -      
E-mail :
Credit Card Number : _________- _________- _________- _________
Credit Card Exp. : Month:______  Year: ________

Requested Inscription
Inscription Such As:

 In Honor of . . .

 

In Memory of . . .

(Inscription not to exceed 4 lines and 38 characters per line.  Subject to edition)

" God does not like big subscriptions and donations collected against the wishes of the donors, but He likes ever trifling amounts given with love, devotion and appreciation." - Shri Sai Satcharita