Hindu Society Of Central Florida
1994 Lake Drive, Caselberry, Florida 32707
Tax ID : 59 287318

Membership Form

Donor Information:(Please Print):
Name
Address
City
State
ZIP Code
Telephone (Home)
Telephone (Mobile)
Telephone (Business)
Fax
Email
Pledge / Payment Details:
Payable time / frequency (Check one)
Total Pledge / Paid Amount: Now Monthly Quarterly Yearly
Payment Type Cash Check Credit Card Other
Pledge completion Date
(After which date we should start
reminding you)
Month Date Year
Check one Regular member ($501) Life Member ($1500.00) Trustee member ($10,000.00)
Signature(s)
Date
For more information, contact at the temple office 407 ‐ 699 ‐ 5277 or send email hscf@hindutempleorlan.org
Please make checks, corporate matches, or other gifts payable to:
Hindu Society of Central Florida, HSCF 1994 Lake Drive, Casselberry,FL‐32707:
All contributions are tax deductible under applicable law.

HSCF Governing Council

Visit www.hindutempleorlando.org for moreinformation

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