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________________ NAME (Underline family name) How name should appear on registration badge Organization (If any) Address City Country REGISTRATION FORM (1999 PARLIAMENT OF THE WORLD'S RELIGIONS Cape Town, South Africa (December 1-8 1999 Before March 30, 1999 After March 30, 1999 FEDERATION OF JAIN ASSOCIATIONS IN NORTH AMERICA (JAINA) State/Province (Please circle appropriate Dollar amount) (FULL REGISTRATION Phone REGISTRATION INFORMATION All registration allows admission to all regular sessions of the Parliament (including seminars and workshops). December 1- 8 1999. There may be admission charge for some off site cultural events, exhibits etc. Full registration does not include travel, accommodations, or meals. Refunds (less $25 for administrative costs) will be made upon request Until October 31, 1999. After this date no refunds will be given. (THREE DAY REGISTRATION (Single person. No discounts) FAX $225 Jain Education Intemational 2010_02 $300 $350 Postal Code INDIVIDUAL RATES FAMILY REGISTRATION for couples and/or parent(s) with children. Parents, Please note: most indoor sessionsare not appropriate for children under 12 years of age. You are responsible for your child's care at all times. Write the names of each additional person, relationship, and age. (Attach additional sheet if necessary.) Family member name Relationship Relationship Family member name GROUP REGISTRATION is available when 8 or more persons register together. Please attach extra page(s) SENIOR CITIZENS, (sixty and over) and STUDENTS (22 and under) can register at the flat rate of $200/person. Qualifying students must include photocopy of valid student ID. E-mail (optional) Age Age (ONE DAY REGISTRATION $100 (Single Person, no Discounts) (DATES) Make checks payable to the Council for a Parliament of the World's Religions Total Due (all registration fees) Name of cardholder Card expiration date (DATE) FAMILY OR GROUP RATES $200/person $250/person Method of payment () Check () VISA () MasterCard Card # Signature MAILTO: Dr. Rashmi Gardi, 39 PENTWATER DR., S. Barrington, IL 60010 Phone: 847-428-4298 OPTONAL INFORMATION We'd like to know more about participants in the 1999 Parliament of the World's Religions. If you wish, you can assist us by filling out this portion of the registration form. Vital statistics: Age Gender () M Dietary Preferences: () No restrictions () Vegetarian (Religion Accommodation (Where you plan to stay in Cape Town) ( ) Private Home ( ) Hotel ()F For Private & Personal Use Only Profession () University Housing () Bed and Breakfast () Other Note: CPWR is not responsible for making arrangements for accommodations. If you wish, you may make these arrangements through African Travel, Inc. 1100 E. Broadway GLENDALE, CA 91205 Tel: (818) 507-7893 OR (800) 727-7207 Fax (818) 507-5802 Email atilax@aol.com www.jainelibrary.org
SR No.527074
Book TitleJain Digest 1999 01 Vol 15 No 01
Original Sutra AuthorN/A
AuthorFederation of JAINA
PublisherUSA Federation of JAINA
Publication Year1999
Total Pages40
LanguageEnglish
ClassificationMagazine, USA_Jain Digest, & USA
File Size7 MB
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