CMT Sample Event Registration Form DDth MMM YYYY, Weekday (4:30 PM to 8 PM)Venue: XXXXXXXXXX. Event starts at 5:30 PM and Prasadham will be served to all devotees. For Questions, please contact CMT at 919-638-2009HiddenPlease select the below option for RSVP and Sponsorship RSVP only Sponsorship only RSVP and Sponsorship Please select the below options for Sponsorship and RSVP Sponsorship RSVP for food Total family members attending (Including You)Name(Required) First Last Email(Required) Phone(Required)HiddenSponsorship Opportunities Event Sponsorship $251 Archanai $20 Annadhanam Paal Kudam $25 Kaavadi $50 Note: XXXXXXXXXXXXXXXXX Event Sponsorship $251 Yes No Archanai Quantity Price: $21.00 Quantity Kavadi ($20 each)Select number of kavadies123Paalkudam ($10 each) 1 2 3 Annadhanam $51 mininum Total Preferred Payment Method?(Required) I will make Online Payment I will pay later Payment Information – All Payments are secured by Auhorize.Net – A Visa Solution American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name Billing Information(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you a member of Carolina Murugan Temple?(Required) Yes No I am not a member, like to become a member, please contact me. Would you like to be a volunteer for this event? Yes No Comments Consent(Required) Yes, I agree the stated waiver below.As a participant of this event, I agree to follow Center of Disease Control (CDC) and local health district guidelines for social distancing to reduce the spread of Novel Coronavirus, or COVID-19. Δ
