Khagola Yatra – Enrollment USA

Dakshine Lakshmanoyasya Vamecha Janakatmaja |
purato maruthiryasya tam vande raghunandanam ||

Important Intrsuctions:

1. All payment should be made in USD, when enrolling from U.S.A.

2. The enrollment is applicable for up to 6 family members (not an individual).

3. A valid address in U.S.A is mandatory to be able to participate virtually.

4. For any questions please email us at khagolayatra@jaisriram.org or call +1 (770) 744-5159

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Please Note: Enrolled devotees will be added to respective Disha WhatsApp groups 30 days prior to Khagola Yatra Inauguration. Appreciate all devotees patience and cooperation

COUNTRY *

• U.S.A

LOCATIONS *

• Will participate in-person at Milpitas, Indian Community Center( ICC) Address- 525 Los Coches St, Milpitas, CA 95035 - Sept 1st, 2024 for Samuhika Sri Sita Rama Kalyanam event
• Will participate in-person in Anchorage, Alaska, USA - Sept 4th, 2024 for Samuhika Sri Sita Rama Kalyanam event
• Will participate Virtually (ONLINE)

PERSONAL DETAILS

Name *

First

Last

Phone *

Email *

U.S.A Address *

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

GOTHRANAMALU

Family Gothram

Family Members Detail

Name 1

Nakshatram 1

Raasi 1

Name 2

Nakshatram 2

Raasi 2

Name 3

Nakshatram 3

Raasi 3

Name 4

Nakshatram 4

Raasi 4

Name 5

Nakshatram 5

Raasi 5

Name 6

Nakshatram 6

Raasi 6

KALYANAM ID (if you know)

SSR ID (if you know)

Sarvam Sri Ramarpanamasthu ID

CHOOSE POOJA

You can choose more than 1 item.

U.S.A Location *

• NAKSHATRA NAVAGRAHA KALYANA SANTI POOJA (All Directions) Kalyana Prasad will be mailed - $1,008.00
• NAKSHATRA NAVAGRAHA KALYANA SANTI POOJA (One Direction) Kalyana Prasad will be mailed - $501.00
• EKA DISHA KALYANA SANTI POOJA (One Direction) - $251.00
• NAVAGRAHA SANTI POOJA (One Direction) - VIRTUAL ONLY - $108.00
• NAKSHATRA SANTI POOJA (One Direction) - VIRTUAL ONLY - $51.00

Total

Order Summary

Item	Quantity	Total
There are no products selected.
U.S.A Location - NAKSHATRA NAVAGRAHA KALYANA SANTI POOJA (All Directions) Kalyana Prasad will be mailed	1	$1,008.00
U.S.A Location - NAKSHATRA NAVAGRAHA KALYANA SANTI POOJA (One Direction) Kalyana Prasad will be mailed	1	$501.00
U.S.A Location - EKA DISHA KALYANA SANTI POOJA (One Direction)	1	$251.00
U.S.A Location - NAVAGRAHA SANTI POOJA (One Direction) - VIRTUAL ONLY	1	$108.00
U.S.A Location - NAKSHATRA SANTI POOJA (One Direction) - VIRTUAL ONLY	1	$51.00
Total		$0.00

$0.00

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