THE HINDU TEMPLE OF METROPOLITAN WASHINGTON
(A Tax-Exempt Religious, Cultural and Educational Corporation)

10001 Riggs Road, Adelphi, MD 20783				(301) 434-1000 or (301) 445-2165


MEMBERSHIP AND DONATION FORM


Name: ______________________________________________

Address: ____________________________________________

____________________________________________________

____________________________________________________

Phone: ______________________________________________


___  Sponsor Member ($10,001.00)

___  Patron Member (5,001.00)

___  Founder Member (3,001.00)

___  Contributing Member (1,001.00)

___  Life Member (501.00)

___ Member (101.00)

___ Donation (_________________)

Please make a tax-deductible check to the Hindu Temple and mail it to the temple at the above address.


Signature: ____________________________	   Date: _________________________