RSVP 2 — Blanco Shirdi Baba Temple

Sankalpam / Prayer Request

Please fill out the details below. Your information will be kept confidential and will only be used for puja services. Please fill in the information for the person or people for whom you are requesting the prayer.

* Please be sure to email a recent photo with face and eyes visible to blessings@blancobaba.org of the person receiving the prayers.

Name at Birth

First Name

Last Name

Name (as you go by now)

First Name

Last Name

Mother's Name

First Name

Last Name

Father's Name

First Name

Last Name

Birth Date

YYYY

Location

Where you currently live: City, State, Country

Sankalpam / Prayer Request

Sankalpam / Prayer Request

Blanco Baba Temple