Veda Sammelanam - 2016
VEDA SAMMELANAM REGISTRATION FORM
Last Name
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First Name
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Address
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City
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State
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Zip Code
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Contact Phone #
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E-mail
Your answer
Please share your passport size photo to be published in our souvenir to svbfusa@gmail.com
Areas of Speciality
If you have chosen "Other". Please specify Special Vedic Knowledge
Your answer
Specialized Talent
Your answer
Do you need accomodation?
Date of Arrival
MM
/
DD
/
YYYY
Time of Arrival
Time
:
Date of departure from Stroudsburg
MM
/
DD
/
YYYY
Time of departure from Stroudsburg
Time
:
Transport Mode
Arrival and Departure Airport
Your answer
Please specify any special requirements for food
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Number of family members accompanying you
(Please note that accommodation will be provided for your family, but no transportation charges of any kind will be paid for any family members)
Adults
Your answer
Kids
Your answer
Place of Employment
Are you a...
If working in a temple, please share the temple address
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Temple Phone #:
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(Please note actual economy class air fare for round trip will be paid up to a maximum of USD 500. Driving by car is limited to actuals or a maximum of USD 500 to the registered driver only.)
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