Ratha Yatra - Build A Chariot Registration Form
Serving the mission of His Divine Grace A.C. Bhaktivedanta Swami Prabhupada. 680 E Calaveras Blvd, Milpitas, CA 95035 Ph: 408-657-8485, info@kbmandir.org, www.kbmandir.org
Your Name
*
First Name
Last Name
Team Name
*
This will be used for displaying your chariot picture on website for voting
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Payment
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Registration fee
$
5.00
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