HINDU TEMPLE OF CENTRAL INDIANA 3350 N. German Church Road, Indianapolis, IN 46235 317-891-9199 • www.htci.org • seva@htci.org Pooja Service Request Form For Pooja Services at your Home or Temple, please fill this form and email with all this info to seva@htci.org. We will contact you within 48 hours. Date of Request Date Service Needed Time of Service Alternative Date and Time Name of Pooja / Service to be done Pooja Location: Temp____________ Home___________________ Other__________ Last Name First Name Spouse Address City State Home Phone Zip Cell Email Arrangement of Transportation: (Transportation for the priest is at the discretion of the devotee. You can pick and drop the priest at the temple before and after the services. Alternatively, if you want priest to drive, then there will be travel charge of 55 cents /mile (IRS Policy) that shall be paid directly to the priest.) Please Note: 1. To arrange for priest services inside/outside of the temple, please fill up this form and email it to seva@htci.org as soon as possible. If you do not hear a response within 48 hours, please call Krishna at (317) 258-5356 (on weekdays 5:30 PM to 9 PM, or weekends 9 AM to 7 PM) or Anil Bajpai at (317) 250-1431. 2. Please send in your request at least 10 days prior to the scheduled pooja date. 3. Maximum time allotted for pooja is 4 hours, which includes to and fro travel time from the Temple. If additional time is necessary, please inform the temple in advance. There will be a charge for $25/hour. 4. Travel time expenses and dakshina amount need to be paid to the priest after the services. 5. All services shall preferable be paid by check (payable to HTCI). Checks can be either mailed to the temple address prior to the pooja or handed over to the priest after the service is done. 6. Cancellations need to be made at least 48 hours before the scheduled pooja date. Member of HTCI? Yes No If not please become a member Yearly, One Archana and Calendar FREE for members