North India Seva Retreat 2020 Registration
Please fill out all required questions. A copy of your responses will be sent to your email after successful completion.
Email address *
Full Name (Please write it *exactly* as written in your Passport) *
Preferred name (or nickname)
Date of birth (month, day, year, in that order) *
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Complete Home Address *
Please include street address; city; state; ZIP code and country if outside the USA
Best phone number to reach you *
Just in case we need to get a hold of you more quickly than via email in an emergency only. Please include the country code if outside the USA or Canada.
Passport Country of issue *
Passport number *
The expiration date of passport *
Important note: Your passport must have at least six months validity from the end of the trip and at least two blank pages in it. If you wish to register for this trip but have an expired or soon-to-be-expired passport, you can still enter your old passport info and we will update it when you send us the new information.
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Will you have a single room or a shared room on this trip? *
If you are willing to share but don't have a roommate already, we will put you with a roommate.
If you are sharing a room with someone you know, what is your roommate's name?
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