________________
·
Jain Milan 4/2009
www.jainmilan2009april.com
3rd Annual Jain Youth
3-day Matrimonial/Networking Convention
(A unique opportunity to meet and find a life partner... in person!)
Friday April 10th 2009, 5 pm to midnight.
Saturday April 11 2009, 10 am to midnight. Sunday April 12th 2009, 9 am to 3pm.
Venue: Long Island, NY. Host: Jain Center of America, NY.
Admission by advance registration* only. Participant must be Jain, age 21 or older Early Registration ends 2-28-09, Registration Last Date 3-21-09
Name:
Registration Fees: US $180 by 2-28-09 and $200 by 3-21-09 per participant. NO REFUNDS Registration until 4-10-09 US $250 per person (Bio-data will not be included in the Souvenir) Participants will receive souvenir with partial Bio-data and pictures at the convention hall Bio-date on a separate page will be inserted if registration is received by March 31, 2009 Souvenir is for participants ONLY and will not be available for sale
Write check or US money order to "JAIN MILAN 2009 April" No refunds. See T&C on Web Mail registration/check to G. Shah, Jain Milan, 12 Ascot Place, North Brunswick, NJ 08902 USA Contact Person: Gunvant Shah, phone: 732-246-4030; profgaryshah@yahoo.com Registration by mail (please include 2"x 2" color photo-passport size only). Do not leave any line blank.
PRINT: FIRST NAME
Address:
Phone: H:
E-mail:
Vegetarian: Yes
Highest degree
U.S. Status: US Citizen
Marital status: Single
I need Transportation Yes
No
Jain Education International
Vegan
Major:
M.I.
Cell:
LAST NAME
Smoker: Yes
Green Card
City.
Height:
No
Occupation:
in US since
Drink: Yes
Other/Visa:
Divorced
Widowed
I Need (to share) Hotel room: Yes
No I give ride to and from Hall, picnic and Hotel (3 miles) Yes
For hotel room at discount price & for transportation E-mail: jainmilan2009@gmail.com
Few words about you & future life partner (Print).
Mother's name:
DOB:
1 /19 Age: Month Day Year
St Gender: M in. Weight: Occasionally
ft
For Private & Personal Use Only
No
Zip F
No
Father's name:
Parent's Address (Print):
Applicant signature (Required):
Date:
Jain Milan reserves the right to ask for documents to verify above information. Bring your photo ID and proof of DOB with you.
No
lbs
Jain Digest Winter 2009
www.jainelibrary.org
