Book Title: Jain Digest 2009 03 Vol 28 No 1
Author(s): Federation of JAINA
Publisher: USA Federation of JAINA

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Page 49
________________ 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 Jain Education Intemational For Private & Personal Use Only www.jainelibrary.org

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