PALM BEACH HINDU MANDIR
16060 Okeechobee Blvd, Loxahatchee Groves, FL 33470
Membership Application Form*, **, ***
Name
(Last, First, M.I.)
Address
Zip (Postal) Code
Contact Phone#
Mobile Phone#
E-Mail Address
Additional Information
(Please list here any special skills, talents, qualifications, knowledge, and expertise that you possess, as well as your interest and availability (time) that you can contribute to the temple.)
Signature
Date
*Annual Membership Fee: $50.00 (Per Family); Membership is Non-Transferable.
** Palm Beach Hindu Mandir, Inc. is a 501 (c) 3 Tax-Exempt Organization, and all donations made to the temple are tax-deductible.
*** Please fill out the above form, print it, and mail to Palm Beach Hindu Mandir, Inc., 16060 Okeechobee Blvd., Loxahatchee Groves, FL 33470, along with your check, payable to PBHM or Palm Beach Hindu Mandir.
Thank You For Completing and Mailing This Application Form and For Showing Your Interest In Becoming a Member of PBHM!