Vaikasi Visaka Peruvizha 2023 Sponsorship opportunities form - June 4, 2023 FridayEvent sponsorship for Vaikasi Visaka Peruvizha (Virtual) . For Questions Contact: 919-389-9258, 919-460-0065.Name(Required) First Last Email(Required) Phone(Required)Address 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. Sponsorship Event Sponsorship $251 Product NamePreferred Payment Method?(Required) I will make Online Payment Total 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 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name 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
