“All information will be held confidential”

    Full Name:

    Email:

    Phone Number:

    Address

    Birth Date (They must indicate written month like Jan. , Feb., March, then date of birth and then year of birth. ):

    Birth Location (city, state, country):

    Birth Time (AM or PM):

    Select Your Yagya From the Drop-Down Below and Pay Securely On Line. New Clients Will Be Emailed a Registration Form Once Payment is Received
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    Participation in Our Yagya Programs Supports Programs for Widows & Children in India