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15th Biennial JAINA Convention
Taina Anaheim Convention Center
2009 800 W Katella Ave, Anaheim, California, 92802 USA
July 2-5, 2009
REGISTRATION FORM:
Register online at www.jaina.org STEP TO CONTACT INFORMATION: This information must be completed in order to receive your registration confirmation Primary Registrant Name:
Name of your Jain Center: Address: Street/ Apt#
City
State/Province Postal Zip Code
Home Phone
Fax
Email
Country/Region
Emergency Contact: STERS CONVENTION REGISTRATION
Phone: Please list all attendees including Infants
Jain Network Individual
Forum Registration Fee (JAIN21/JNF) Sex
from chart in Age 21-40 from M/F Age Step 3 chart in Step 3
Evening Social
Activities Age 14 - 40 from chart in Step 3
TOTAL
FEES (US$ 1 person)
Last Name
First Name
Total Registration Fees (US$) Day Care needed Yes No
No. of attendees requesting VEGAN food: STEP 3. INDRADUAL REGISTRATION FEES:
UP TO FEB 28
ADULTS (AGE 18 & UP)
$ 150
CHILD/YOUTH (AGE 6 UP TO AGE 17) $ 100 JAIN21/JNF (AGE 21-40)
$ 80 Social Activities (Age 14-40) $ 70 Note: Children up to age 5 are FREE.
TOTAL MAR 1 to APR 16 to JUNE 16 to
REGISTRATION APR 15 JUNE 15 June 28
FEES FROM STEP 2 $ 175 $ 200 $ 225
General Donation
($ 100 suggested) $ 115 $ 130 $ 145
GRAND TOTAL
(US$) $ 90 $100 $ 110
$ 80 $90 $.100 PAYMENT MUST BE MADE IN U.S. $ ONLY After June 28 '09, only On-site Registration will be available.
JAIN21/JNF & Evening Social Activities Program Plans 1. Jain Network Forum (JAIN21/JNF) is open to young Jains between the age of 21 to 40, who are interested in networking and meeting other like-minded Jains for friendship, relationship and marriage. Some of the activities being worked on for JAIN21/JNF are Mixers, Relationship Workshops, Career Panels, Beach Bonfire & Mela, Service Events, Evening Formal Cruise, and much more. Additional form needs to be completed for all JAIN21/JNF participants.
2. Evening Social Activities are open to young Jains between 14 and 40 who are interested in educational, social, charitable
and cultural networking with other like-minded young Jains, meeting new and old friends, and learning more about Jainism We are working on many varied events including Jain Iron Chef, an Ahimsa Concert, Garba/Raas, Evening Formal, Youth Meditation & Yoga Sessions, Camp Fire Conversations and much more.
ER S t ransion and date nekwN
SES I have read and accept the Terms and Conditions on the reverse side of this registration form.
SIGNATURE OF PRIMARY REGISTRANT:
Date:
JC09_Registration_v33.doc
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