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Name: *
     
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Home Phone: *
     
Mobile Phone: In order for us to get directions etc to your new house.  
     
  The place where puja will be performed:  
Address:  
     
City:  
     
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Approx. dates for puja: *
     
Puja Requirements: *
     
 
 
 

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PO Box. 1065, Issaquah, WA 98027
Email: shastriji@seattlepandit.com or seattlepandit@yahoo.com
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