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membership form
Hindu Society Of Central Florida
1994 Lake Drive, Caselberry, Florida 32707
Tax ID : 59 287318
Membership Form
Donor Information:(Please Print):
Name
Address
City
State
ZIP Code
Telephone (Home)
Telephone (Mobile)
Telephone (Business)
Fax
Email
Pledge / Payment Details:
Payable time / frequency (Check one)
Total Pledge / Paid Amount:
Now
Monthly
Quarterly
Yearly
Payment Type
Cash
Check
Credit Card
Other
Pledge completion Date
(After which date we should start
reminding you)
Month
Date
Year
Check one
Regular member ($501)
Life Member ($1500.00)
Trustee member ($10,000.00)
Signature(s)
Date
For more information, contact at the temple office 407 ‐ 699 ‐ 5277 or send email hscf@hindutempleorlan.org
Please make checks, corporate matches, or other gifts payable to:
Hindu Society of Central Florida, HSCF 1994 Lake Drive, Casselberry,FL‐32707:
All contributions are tax deductible under applicable law.
HSCF Governing Council
Visit www.orlandohindutemple.org for moreinformation
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