We are bestowed with noble opportunities to participate in good acts or good deeds in this birth due to our Purva Janma Punyam or Purva Janma Sukrutham. It is believed that among the many forms of Daan (donation), Bhoomi Daan is one of the dearest acts that pleases the Lord and blesses your progeny for many generations.

Building a temple is a once-in-a lifetime opportunity for many people and this mighty and noble endeavor needs your financial support. Your generosity will help bring this noble cause to fruition. Come and join us with your abiding support of heart, hands, mind and soul to help build this place of worship and promote our culture and heritage for generations!

Name:

Address:

Email:

Phone numbers:

YES! I/ We would like to sponsor one or more of the following items: ($1,000 and above will be recognized on the donors board. Your donations are tax-deductible).

Options: Check ( ���� ) one or more

1. One Time Donation by Check $___________Please make the check payable to "The Hindu Temple Association of Eastern Iowa"

2. Monthly Automatic Funds Transfer:

� $50 a Month � $100 a Month � Other Amount : (Per Month)

Name of Financial Institution:

Account: Routing Number: ________________________________

Electronic Funds Transfer Statement of Authorization: I do hereby give permission to temple and their banking institution to debit the authorized

amount stated above once every month. This authorization will be valid until revoked by me in writing to temple. I understand that this is a tax-deductible donation to

temple and I will receive an acknowledgement of my yearly contribution in the month of January the following year.

________________________________________________ ______/_____/_____

Signature(s) of Account Holders(s) (Mandatory) Date

Many organizations match dollar for dollar any donation you make to a non-profit organization. Please check with HR Dept. of your organization and

send the relevant completed forms along with this form. Please keep a copy of this form for your records.

The Hindu Temple Association of Eastern Iowa, P.O.BOX 10573, CEDAR RAPIDS, IA 52410

Temple Relocation Project – Building Construction Donation Form