Please make your tax-deductible checks payable to KKSF

                                                    mark “Chicago Chapter” in memo section,

You can send the following information (TIP: You can print this form)

Name :              

 

Gothra :           

 

Rasi:                  

 

Birth Star :     

 

Email Id:          

 

Address 1:      

 

Address 2:      

 

City:                    

 

State:                

       

 

Zip:                     

 and mail to:

Shri Venkatesh Iyer,

165, S.Oakhurst Drive,

Aurora, IL 60504

email: psmchicago@gmail.com