Attending?		Meet & Greet
*Head of Household:			*Birth Date:
Spouse:		MALE FEMALE	Birth Date:
Child:		MALE FEMALE	Birth Date:
Child:		MALE FEMALE	Birth Date:
Child:		MALE FEMALE	Birth Date:
Child:		MALE FEMALE	Birth Date:
Address 1:			Address 2:

City: *		State: *		Zip: *
Phone: *		Fax:		E-mail: *
Town in India:		SPOUSE TOWN IN INDIA:

Registration fee: (Includes breakfast, lunch and dinner for both days)
No. Of Adults (Over 12 Years) *		X $ 0.00     =
No. Of Children (4 Years to 12 Years)		X $ 0.00     =
No. Of Children (Below 4 Years)		Free
No. Of Meet & Greet		X $ 10.00     =
Lifetime Membership		X $ 151     =
Donation to support convention		=
Total Amount Enclosed		=