Individual Registration

Please enter information in the form below to process registration for event Sri Valli Devasena Sametha Subramanya Swamy Prana Pratishthapana- 2026.

First Name *

Last Name *

Address

City

Phone *

Email *

Gothram

Comment:

Sri Valli Devasana Sponsorships:

Grand Sponsorship($3116)

Day Sponsorship($1116)

Garland($251)

Vastram($116)

Saree($116)

Kalyanam($101)

Abhishekam($101)

Archana($15)

Payment Information

Amount

Payment Method

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

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*