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SHREE SHATRUNJAY Mahatirth 99 Yatra 2016
TENTATIVE DATES: NOVEMBER 14, 2016-JANUARY 13, 2017 SHREE SHATRUNJAY MAHATIRTH 99 YATRA 2016
REGISTRATION DEADLINE: JULY 31, 2016
REGISTRATION FORM
(We can only accommodate a MAXIMUM of 150 people.)
Please mail completed form with a check for $1200 per yatri (Made payable to: JAINA 99 Yatra 2016 USA) to Arvind R. Shah, 6738 Woodcrest Drive, Troy, MI 48098
To provide proper accomodations and arrangements JAINA has to provide a substantial deposit to the facilities in Palitana. Therefore, we need your payment, in advance of the actual travel date.
YATRI'S NAME
1)
2)
3)
Address:
Phone Home:
Cell:
Work:
Emergency Contact Name & # (India): Emergency Contact Name & U.S.A.):
E-mail Address:
Total # of Yatris
A check for $
Signature:
Sponsorship $.
X 1200 = $
is attached with this form.
Date:
AGE
INTERESTED IN SPONSORSHIP: (PLEASE CIRCLE CATEGORY)
Mahasanghpati
Corporate Sponsor
Platinum - Sanghpati
Gold
Silver
Bronze
Daily
NAME OF SPONSOR:
$25,001
$15,001
$11,001
$7,501
$5,001
$2,501
$1,001
TRAVEL ARRANGEMENT (USA)
Attn: ANNAL
Contact Jaya Travel & Tours
24701 Swanson, Southfield, MI 48033 Tel: 1-877-359-5292 ex.2608 www.jayatravel.com
RENTAL CAR (PALITANA) Contact: HARDIK DEVLUK M: 99794 49899
TRAIN AND AIR (PALITANA) PARAS TRAVEL Bhavesh Sheth Tel: 02848-252170
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