Brahmin Samaj of Georgia, Inc.
(A registered 501 (c)(3) Tax Exempt Organization)
EIN # 582180725
P.O. Box 80162
Atlanta, GA 30366
Tel/Fax: 770-662-8628
E-mail: BSOGATLANTA@HOTMAIL.COM
Website: https://members.tripod.com/~Brahmin_Samaj_of_GA/
5TH ANNUAL ALL BRAHMIN CONVENTION - 2003
GENERAL REGISTRATION FORM
Mail completed for before
May 31, 2003 to: BSOGA, 1380 Cornerstone Place, Tucker, GA 30084,
USA
Name:
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Date of Birth:
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Occupation:
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Name:
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Date of Birth:
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Occupation:
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Name:
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Date of Birth:
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Occupation:
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Name
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Occupation:
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Country:
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Phone: (H)
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Phone: (W)
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Fax:
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Cell:
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Gotra:
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Native Place:
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E-Mail:
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PLEASE PRINT: ALL INFORMATION IS REQUIRED TO PROCESS REGISTRATION.
Please make check Payble to in U.S. Funds to: BSOGA, Inc.
To accommodate maximum delegates we are doing all that is
possible to cut the cost and still strive for best quality services. Your
donation to BSOGA, Inc. is Tax Deductible.
REGISTRATION
FEE(S):
(1)
$80.00 PER PERSON RECEIVED POST MARKED BY MAY 31, 2003.
Grandparents over 65 are admitted for free, but still
need to register. (Grandparents are our pride and joy, and blessings.
We will honor them if you register NOW).
(2) $100.00 PER PERSON FOR REGISTRATION AND PAYMENT RECEIVED
AFTER MAY 31, 2003.
Registration includes one Convention Directory/Souvenir,
participation in Convention Activities, Breakfast, Lunch and Dinner.
Lodging is to be paid by registrant directly.
I, the undersigned, and the other family members listed by me above, have
received, read, understood and hereby agree, acknowledge and accept all the
rules-regulations and guidelines set forth for the convention participation.
We further agree to release, indemnify and hold BRAHMIN SAMAJ OF GEORGIA,
INC., its members and the organizers harmless from any and all actions and
liability, of any nature whatsoever, consequential or otherwise, resulting
from or relating to this convention.
Date Received:
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Notes: