On-Line Puja Reservation

Are you a Member/Life Member of Bharatiya Temple of Lansing?

Gothram:

Person Name:

Birth Star:

Date of Puja/Service:

Time:

List of Services/Pujas (** Means Non-Member Fee):

Inside Temple:

Outside Temple (Includes Ingham, Eaton and Clinton Townships; Additional charges may apply outsides of these counties):

For Online Puja Only, Please select one of the options below

Kula Devata (Deity, Puja to be Performed):

Name (required)

Spouse and Kids Names (Specify names with comma separated)

Contact Phone (required)

Address(required):

City(required):

State(required):

Zip Code(required):

Your Email (required)

Priest Preference:

NOTE: All online pujas needs to be reserved atleast 24 hrs prior to the scheduled time and confirmed by Priest. All Online Puja services needs to be paid before scheduled Puja time.

To submit this form please click on "SEND" button below.

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