Tarpan/ Obituary Prayer Order Form 
 (Please NOTE all the information provided by you will remain extremely confidential and will be destroyed after completion of the prayer and thereafter confirmation from you about prayer. In case, some time later, if you wish for another prayer or repeat the prayer, we will require fresh form)
There are several ways to order a horoscope
1.	E-mail your order to us. Prepare a short e-mail letter containing the information required on the Order Form and e-mail it to: Acharya@paramhansa.com. with a Heading "Paid Order" So that your order may not get mixed with Free Channel  
When completing the Order Form, note these points:
o	Type or print clearly. Double-check your all entries. Such as
Spell out all dates: e.g., April 3, 1903...Not 4/3/03 or 3/4/03. 
o	Your information must be correct. Incorrect may result in Null effect.  Check your family records, or some reliable source to obtain this information.

The Acharya  asks you to give certain personal information about yourself or Person/ Place  - e.g., male or female, married or single, Biological parents are living or deceased, number of Biological children, and so on. This information is required for performing pooja for person , to identify him/ her cosmically. 
o	Include a return e-mail address so that we can acknowledge your order. Also, if the astrologer requires further information, we will contact you by e-mail. 
o	Specify type of payment (check, money order, or credit card). Checks and money orders must be payable in US dollars.

Mailing Information of Ordering Person
Name (First, MI, Last): __________________________________________________ 
Street address: ________________________________________Apt:____________ 
City: ________________________________State: ___________Zip: ___________ 
Country: ____________________________________
Phone: (_______)_______________ E-mail address: ___________________________ 
Have you had any service from Vedlink or ParamHansa before? Yes / No (Circle one)
Have you accomplished any Ritual in INDIA and Priest allocated any Gotra to you?
Please do inform:- 
Birth Information of Person for whom the  Tarpan/ Peace Prayer has to be done 
Tarpan / Peace Prayer for Departed Person please provide PICs
Name (First, MI, Last): __________________________________________________ 
Male / Female: ____________________________________

Date of Birth (Month/Day/Year): ______________________________________ 

Place of Birth / City: __________________________ State: _________________ 

Country: ________________________________ Citizenship :______________

Gotra (for Hindu’s only): ____________________________________
Distt. And Village(for Hindu’s only):  ____________________________________

Married / Single / Separated / Divorced / Widowed : _________________________________

Number of children (e.g., 1 son, 2 daughters): ____________________________________

Mother Name (Biological),  Living  Yes / No : ____________________________________
Father  Name (Biological), Living: Yes / No : ____________________________________

Father side
Grand Mother Name (Biological),  Living  Yes / No : __________________________________
Grand Father  Name (Biological), Living: Yes / No : ___________________________________

Mother side
Grand Mother Name (Biological),  Living  Yes / No : __________________________________
Grand Father  Name (Biological), Living: Yes / No : ___________________________________

Please Provide the information, what make you to opt for  Havan/ Yagya( Shanti Pooja), which you wish, ShantiPooja.Com to do for you.(Optional, but if you provide, it will be great help for us.)
_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Any Special Information which you wish to share with us. .(Optional, but if you provide, it will be great help for us.)

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

NOTE:-
Gotra is an essential part of cosmical Identity of Person, and all prayer are done, taking that Identity in center. We understand Non Hindu, do not have any Gotra, so during the Yagya some time Main Priest, gives his Gotra to Pupil or Identify “Kashyap Gotra” for them. Your Prayer will be accomplished with “Amuka Gotrotpanna” means Unknown Gotra. 

Payment Information 
___ I wish to order a Yagya/ Haavan: INR 50,000/- (for Natives living in INDIA) or US$ 550

We Accept Dakshina / Payment   through RTGS/ NEFT/ Net Banking for Details, eMail to Acharya@paramhansa.com   
For Paypal our Account is “Consultancy@paramhansa.com”
Please allow 10 - 14 days for completion. Filtered Pics of Havay/ Yagya will be sent to you through eMail.
  
___ E-mail.......to this e-mail address: ____________________________________________ 
( Please print legibly. Even slight errors will prevent transmission of e-mail. )
Please Note: 
A Mantrik/ Priest/ Rtual Guru or Astrologer are the person based on his or her training and experience in Vedic KaramKand / Knowledge learning. Another Priest’s, of  same line or other line of  learning,  opinion on any particular point may differ. The Prayer/ Tarpan/ Yagya done should not be used as a substitute for Treatment or advice, programs, or Medicine that you would normally receive from a licensed professional, such as a lawyer, doctor, psychiatrist, or financial advisor. Vedalink Inc. makes no warranties or representations regarding the accuracy or significance of any aspect of the Vedic Ritual, and cannot be responsible for any interpretation or use that may be made of it. 

E-Mail: Acharya@paramhansa.com