Triad Hindu Temple / HINDU SOCIETY OF NORTH CAROLINA
(NORTH CENTRAL REGION)
HSNC NEEDS YOU MORE THAN EVER
“VISION 2020 - TO CONSTRUCT & COMPLETE OUR FULL TEMPLE”
MY/OUR ANNUAL SUPPORT THROUGH MEMBERSHIP/PATRON/ DONATION
For 2018, I/we wish to support HSNC through (Please select one of the following)
__Full Members/Patrons of the HSNC (Tax deductible annual fee of $150.00)
__ Individual Member/Patron of the HSNC (Tax deductible annual fee of $75.00)
__Student Member(s)/Patron(s) of the HSNC (Tax deductible annual fee of $25.00)
In addition, I/We would like to support and contribute to our “HSNC-Vision 2020” in the sum of $______
Pay now and you can claim tax deduction for 2017. Your membership will be valid until 12/31/2018.
Please complete details for each member (and dependents as applicable and included in your tax return):
# / First Name / Last Name / Gender (F/M) / Date & Month of birth only (No year)* / Email / Birth Star (optional)1
2
3
4
Address / (Street Address) (Apt. #)
(City) (Zip)
______
Phone Number / Home: ( ) ______Gothram ______
Please do not include me in the mailing list(Members/Donors are included in the mailing list unless declined)______Date: ______
(Sign)
Please Note:
(i)* Please do not include year of birth. Date and month of birth collected to do Archana on member’s birthday at temple.
(ii)Make check payable to HSNC and mail to” Treasurer, HSNC, P.O BOX: 4643, Greensboro, NC 27404.
(iii)The membership/patronage is valid for one calendar year starting January 01 through December 31. Membership beginning in the mid-year would also terminate on December 31.
(iv)All memberships/patrons have equal rights in the Hindu Society’s Management.
(v)**Cash donation can be made at the Hindu Society’s Hundi with completed form.Do not mail Cash.
(vi)Membership/patron donation can also be paid online at (click on donate).
FOR HINDU SOCIETY USE ONLY
Received by (sign): ______Date: ______
Full Name: ______