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THT DONATION FORM “How can you help?” It is my/our intention to contribute $ ______(select one) : ❏ One-Time ❏ Yearly ❏ Quarterly ❏ Monthly Contribute Generously to BUILD YOUR TEMPLE! for the next ______years in support of the "Triad Construction” (Select one): for ❏ Garbhalayam ❏ Upalayam ❏ Sq. Ft. Donate ≥ $3500 and Engrave your Name in It is my/our intention to make the first payment in Temple Donor Wall for A Lifetime ! ______,20_____

Signature:______• Donate 75 Sq.ft = $26,250 (Lifetime Patron Sq. Ft Donor) • Donate 30 Sq.ft = $10,500(Platinum Sq. Ft Donor) Donor Name: ______• Donate 20 Sq.ft = $7000 (Diamond Sq. Ft Donor) • Donate 15 Sq.ft = $5250 (Gold Sq. Ft Donor) Address: ______City: ______

• Donate 10 Sq.ft = $3500 (Silver Sq. Ft Donor) State:____ Zip : ______E-Mail: ______• Donate 5 Sq.ft = $1750 • Donate 1 Sq.ft = $350 Phone: ______

Donate for ≥ $10,000 Garbhalayam (20 spots each) Does your employer match donations? ❏ YES ❏ NO

& Please enclose a signed Matching Donation Form from your employer if applicable ≥ $5000 Upalayam (20 spots each) and Engrave your Name in Temple Donor Wall for PAYMENTS A Lifetime ! Your Temple, Your Pride Check: Please make checks payable to “HSNC ”

• Panchamukha (Black Granite Moola Vigraha) Credit Card: Levels - $50,001 $25,001, $10,001 Credit Card #: ______• Sri Swamy (Black Granite Moola Vigraha) Giving is one the Highest Levels - $50,001 $25,001, $10,001 Expiration Date: ______/______

• Sri Mata (White Marble) Security Code: ______Virtues of Levels - $50,001 $25,001, $10,001 ACH: Sri & Karthikeya (Black Granite) - $5001 • • Navagraha, Consorts and (Black Granite) - $5001 Account Type:❏ Checking Account ❏ Savings Account Dānam Parama • Sri Shiva(White Marble) Upalayam - $5001 Bank Routing #: ______• Sri Ganesha (White Marble) Upalayam - $5001 Dharmalakshanam Bank Account #:______• Sri Parivar (White Marble) Upalayam - $5001

• Sri Ram Parivar (White Marble) Upalayam - $5001 Securities & Stocks: Please email to [email protected] • Sri (White Marble) Upalayam - $5001

• Sri Jagannath Parivar (Wood or Marble) Upalayam - $5001 Contributions to the Hindu Society of NC (Triad Hindu Temple) are deemed Hindu Society of North Carolina • Sri Ayappan (Panchaloha) Upalayam - $5001 charitable under section 501(a) of the internal revenue code as an (North Central Region) • Sri Murugan, Valli, Devayani (Black Granite) Upalayam – organization described in Section 501(c)(3). U.S. Federal Tax ID. 58-137958.

(Funds Raised for Murugan Upalayam) Please consult your accountant for any clarifications. (DBA Triad Hindu Temple, THT)

• Saraswathi (Black Granite) Upalayam - $5001 Payments must be received before the end of the year to be eligible for a tax www.triadhindutemple.com • Mahalakshmi Devi (Black Granite) Upalayam - $5001 deduction in that year. 7751 Alcorn Road Greensboro NC 27409 • Sri (Black Granite) Upalayam- $5001 There is no minimum contribution amount. Phone: 336-621-5848 For more information, please visit www.triadhindutemple.com • Sri Shirdi Saibaba (White Marble) Upalayam - $5001 HSNC Tax Identification No : 58-1379581

May this Temple be a paradise for those seeking inner peace, a sacred space that values Sarve Bhavantu Sukhinah| Sarve Santu Nir-Aamayaah| and reminds us of our spiritual purpose and a true blessing to the entire community. Sarve Bhadraanni Pashyantu Maa Kashcid Duhkha Let us reconnect with our cultural and spiritual roots, let this Temple be the best giving for our generations to come! Bhaag-Bhavet| Om Shaantih Shaantih Shaantih|| Panchamukha Tirumala Agama is a rich and Durga Mata >>> Shivalingam Venkatachalapathy elaborate compendium of A temple that has a Our New Triad Hindu Temple >>> rules and guidelines for Goddess Durga symbolizes >>> worship, temple building and positive energy: A temple that has a unique A temple that has a spirituality. It Durga Mata is a A Temple that represents the rich and diverse Panchamukha replica of the Tirumala plays a very principal and architectural heritage of . Shivalingam as one of the Tirupati important role Lokah Samastah popular form of presiding deity: Venkatachalapathy deity: in consecration Hindu Goddess. Temple in India are a rich and aesthetic Na-ma-si-va-ya is the auspicious Sukhino and construction She symbolizes Panchakshari . Triad Triad Hindu Temple will also experience in addition to being spiritually fulfilling. of holy places. Bhavantu || positive energy Hindu Temple is blessed to be the have Lord Venkatachalapathy Temples in each regional area reflect the architectural known as divine first temple in the USA that will (Venkateshwara) as one of the heritage and unique flavor of that region. Triad Hindu that is used have a Panchamukha Shivalinga presiding deity. The deity will be Temple’s structure will showcase that rich diversity. Each A Temple that is built against the negative forces of evil as a presiding deity. The designed and sculpted by elevation, front, right, left, and main Shikara/Gopuram, under the guidelines and wickedness. Panchamukha Shivalingam (five- renowned Stahpathis (temple will represent different temple architecture styles of India: of Agama Shastra faced Shivalingam) represents sculptors) and will be just a few Southern, Northern, Eastern and Western India. inches shorter than the deity in >>> the five important aspects of Lord Shiva. Tirumala itself.

Our sincere thanks to all the donors/volunteers who have contributed funds and time over the years. Temple for One & All >>> Your continued support is critical to the realization of this dream >>> • 4 Different Shikara/Gopuram, One of a Kind Agama Shastra Temple in USA • Cost Estimate for Phase I( Complete Site Development, Balalayam/ Temple Annex Prayer Hall, and Restrooms) Approx. $1.6M. • Elegant and Authentic Design Funds secured thru Donations(~$670K) and Bank Loan(~830K) and Project completion by June 2021. • Energy Efficient Facility with Provisions for Natural • Cost Estimate for Phase II(Main Temple Construction) Approx. $2.2M Light • Complete Concrete Building for a Lifetime with Low • Phase II A (Foundation Approx. ~400K, Donations secured) will kick start in June 2021. Building Maintenance • Currently fundraising is going on for Phase II B (Precast Walls and Ceiling to get complete shell structure Approx. ~1M)