Hasya Kavi Sammelan Registration Form Date: Friday, August 25th, 2023 Time: 5.30 to 6.30 PM (Dinner) 6.30 PM to 10.30 PM (Program)

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Email *

Primary Attendee Full Name *

Primary Attendee's Phone Number *

Number of people attending? Please provide names of your guests *

Can you Volunteer? *

Yes

If yes, please select where you can help in this event *

Registration and Welcome

Hall arrangement etc

Snacks, Tea and Cold Beverage Arranement

Food Arrangement - Dinner

Clean-up

Other:______________________________________________________________

N/A (if your answer is "No" in Volunteer question)

Required

Please support the cause with generous donation/sponsorship. Donations are tax deductible *

Diamond Business Sponsorship: $500.00 (2 Tickets)

Platinum Sponsorship: $500.00 (8 Tickets)

Gold Sponsorship: $375.00 (6 Tickets)

Silver Sponsorship: $250.00 (4 Tickets)

Bronze Sponsorship: $125.00 (2 Tickets)

One Ticket: $40 for IHA members only (Number of Ticket selection at the time of purchase and will show up at the next step)

One Ticket: $45 for Non-members (Number of Ticket selection at the time of purchase and will show up at the next step)

One Ticket: $15 for Students only (Number of Ticket selection at the time of purchase and will show up at the next step)

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