Shri Dwarkamai Vidyapeeth

Individual Registration

Please enter information in the form below to process registration for event Sai's Pakashala- Oct 31st 2026.

First Name *

Last Name *

Address

City

Phone *

Email *

Comment:

Full meal ($12):

Veg Pulav, Puri with curry and Payasam

Payasam ($3) :

Payasam

2 Puri & curry ($6):

2 Puri & Curry

VegPulav ($6):

VegPulav

To-Go Order?

To-go

Masala Chai: ($2)

Masala Chai

Payment Information

Amount

$

Payment Method *

Paypal / Credit Card / Debit Card : : (All through Paypal Interface) Offline Payment

Billing Zipcode*

Credit Card Number*

Expiration Date*

/

Card (CVV) Code*

Card Holder Name*