Jain Digest 1997 03

Author(s): Federation of JAINA
Publisher: USA Federation of JAINA

Page 19

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2
Name
Profession
Spouse
Profession
Address
City
State
Phone: ( )
Business ( )
Fax: (
)
E-mail
Names of children/young adults who will be attending the convention:
Age
Age
Age
Age
3
Other members
Arrival Date
I will be willing to help with
REGISTRATION FORM
9th Biennial JAINA Convention July, 4-6, 1997
Toronto, Ontario, Canada
Family of 4
Family of 3
Additional family member
Couple
Single
Arrival Time
March 1997
Your registration fee includes all convention facilities, most meals and macks and souvenir magazine.
Early Bird After Special
May 1st
$100 US
$125 US
$100 US
$125 US
$ 25 US
$ 25 US
$ 75 US
$100 US
$ 50 US $ 50 US
All the organizers, officers, employees, volunteers and agents of JAINA '97 Convention shall not be responsible for any claims and costs arising from any injury, loss or damage, however caused.
Business
Sex
Sex
Sex
Sex
Departure Date
Business
Education
Education
Education
Education
Enclosed please find my:
Registration fee
Sponsorship/Donation
Zip
Departure Time
during/ before the convention.
Advertizement Charges.
Total amount enclosed
Please mail your check payable to:
JAINA
P. O. Box 310
19-2555 Victoria Park Avenue
Scarborough, Ontario, MIT 1A3
Canada phone: 416/493-1666
JAIN DIGEST
Por Personal & Private Use Only
Upon receipt of your completed Registration Form and payment,
a confirmation letter will be mailed to you with a schedule of events.
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