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Registration Form

for Vendors, Service Providers, Artists...

 
We need different services for our various functions & activities.  If you are interested in providing services to our non profit community group at very reasonable charges or if you would like to provide your services free to any of our religious cultural activities like "Ganesh Festival", Diwali Function" etc...please complete following form:

 

*First Name:

*Last Name:

Business Name:

USA License #:

*Street Address:

Suite/Apt #:

*City:

*State:

*Country:

*Zip/PIN Code:

*Business Tel:

Business Fax:

Cell #

Email Address:

Your Title:

Website:

Services Offered:

Select as many services as you can offer. If services you provide are not appearing in the list, give detaials below:

Rate:

Other Services:

References:

Business Hours:

   

Do you provide services on Saturday & Sunday?

Yes No

           


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