Shiv Mandir of Atlanta Donation Form (Tax ID# 58-2594498) Dear Friends & Devotees: To serve the interest of our community, Shiv Mandir of Atlanta is being constructed at a planned cost of approximately three and a half million dollars on Peachtree Industrial Blvd., in the city of Sugar Hill (near Suwanee). Beside spiritual needs of the followers of Sanatan Dharma, this temple will provide facilities for education, cultural (Hindu Festivals) and community activities for children, adults, and senior citizens. Please donate generously to support the construction of this temple. Name: _____________________________________ Address: ___________________________________ ___________________________________ Phone: _____________________________________ Email: _____________________________________ Donation Amount: $__________________________ □ Patron Member, □ Life member, □ Annual member, □ Construction, □ Other. Donors of $1,000 and above will have a corresponding plaque engraved in their or a family member’s name. The plaque will be installed in a prominent place in the Mandir campus. (Donors of $10,000 or higher may choose to become a Patron Member of the Temple, Life membership is $1001.00 and annual membership is $101.00). For monthly recurrent donations please include a cancelled check and indicate amount $_________________. Signature: ____________________________. You may also choose to give an Interest free loans to Shiv Mandir. The donations may be handed personally to any members of the Mandir Management or mailed to: Shiv Mandir, Inc. P.O. Box 922391 Norcross, GA 30010 Tel: 678-462-6166 Please visit: http://www.Shivmandiratlanta.org to donate on line by credit card and for more information about current events.