Donation Form

Name

name

Address

address

City

city

State

state

Zip

zip

Phone

phone

Email Id

I/We authorize Pushti Parivar USA to charge monthly entry in the amount of $ from my/our Checking/Saving Account or Credit Card

Account Name

name

Bank

name

Routing #

name

Account

name

Name

name

Card

name

Exp Date

name

CVV#

name

The debit transaction will be on 28th of each month. All donations are tax deductible allowed by law.
This authorization is to remain in full effect until Pushti Parivar USA has received written notifications from me/us.

Signature

name

Date

name

All the donation collected through this option will only be used for the Haveli Nirman by Pushti Parivar USA.

Submitform

"Shri Pushti Parivar Trust" with an aim to do something for Pushti Sampraday and human civilization as whole. The trust aims at integrating and directing the energy utilized by individuals towards a bigger purpose.

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Donation Form

SHRI PUSHTI PARIVAR OF USA