Jain Digest 2001 01 Vol 17 No 01

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

Page 54

First
*Address: Street / apt #
Registration Fees:
*Residence Phone Business Phone
3.
4.
5.
6.
Primary and Immediate Family Members (Spouse, Sons, Daughters)
Name
7.
Mi.
8.
9.
Couple
Each Additional Immediate Family Members Individual
11TH BIENNIAL JAINA CONVENTION
JULY 5-8, 2001
Last
Jan 16 to
April 15
US $200.00
US $85.00
US $120.00
REGISTRATION FORM * Required Fields
City
Fax
Schaumburg, Illinois 60173-6198 Phone for Convention Head Quarters: (847) 397-8316
Date
(Postmark of registration form will be determined by applicable registration fees)
Please mail Check payable to: JAINA 2001 Convention Mail Registration forms via regular US mail to: 821 Seers Dr.
Registration Rules/Information
1. Online registration through Web site www.jaina2001.com is available.
2.
52/JAIN
Jain2 JAIN DIGEST SPRING 2001 02
April 16 to
June 15
US $235.00
Marriage Info. Service (MIS) M/F MM/DD/YY Relationship (US $50/person)
Sex DOB
XXXXXXXXXXXX PRIMARY
Yes/No
XXXXXXXXXXXX SPOUSE
US $110.00
US $150.00
*State/Province
June 16 to July 07
US $275.00
US $140.00
Amount
US $185.00
E-mail
Yes/No
Yes/No
Reg_id
Yes/No
Yes/No
Yes/No
10. Organizers are not responsible for loss, injury or damage of any kind to registrants or guests.
11.
Check if have registered rooms at
(Name of hotel)
Youth Cruise (age 18-35)
*Zip/Postal code *Country/Region
(US $60/person)
Yes/No
Updated DB
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
SOCIETY
CHICAGO
Profession (Primary's)
Youth
Dance (DJ) (age 12-17) Concert (age 18 or above) (US $10/person) Dance/Concert/None
Dance/Concert/None
The registration fee is based on individual, couple or each additional family member. (For example family of 4 register before Jan 15, 2001, it will be US $ 175 +60*2-$ 295). Additional fees apply for Youth cruise/Dance/Concert/MIS. Registered family with children's up to age 5 are FREE. June 15th 2001 is the LAST DATE of pre-registration for Youth Cruise and Youth Dance/Concert.
Dance/Concert/ None
Total Amount Enclosed US $ Charge my Master card/ Visa/Discover/American Exp. Card #_________▬ ▬▬▬▬ ▬▬▬▬ Name on Card: Signature:
Exp. DT: Date:
Cancellation charges will be US $50.00 for total registration fee up to May 31. Cancellation charges will be US $50.00 or 25% of total registration fee (whichever is higher) from May 31 to July 2, 2001. Marriage Information Services (MIS), Youth Cruise & Dance/Concert charges are non-refundable. Most programs are at convention hall, Hyatt and Rosemont Suites Hotels.
Receipt of confirmed registration will be mailed to you. Registrant must bring registration letter and picture ID at registration desk to collect registration material. All convention participants require Picture ID.
On site registration begins 12:00 noon on Thursday July 5, 2001. Only Cash or Credit Cards will be accepted during on site registration. The programs start Thursday evening, conclude on Sunday afternoon.
You need to be registered for the convention and fill out separate Candidate Information Form to participate in Marriage Information Service (MIS).
The cruise is scheduled for the 18-35 age group on Saturday for 3 hours. Youth concert for ages 18 and above will have live bands. Youth cruise, concert and dance will be served on first come first serve basis.
Checked by
Dance / Concert/None
Signature:
Date:
If you need help filling out the form, e-mail questions at jaina2001@home.com or go to www.jaina2001.com web site to see a sample.
Convention Use Only: Receipt No
Dance/Concert/None
Dance / Concert / None
Total MIS/Cruise/Dance/Concert Fees:
Registration fees: (couple/individual) Additional member fees:
(# of Additional members X S applicable fee)
Donation Total Amount
1
US
SSS Amount