BRAHMIN SOCIETY OF NEW YORK
Phone: 732-558-8949 E-Mail: cruisevention@aol.com
Fax: 732-815-9554
FOURTH ANNUAL ALL BRAHMIN CONVENTION & CRUISE REGISTRATION FORM
Mail completed form before Feb. 28, 2002 with $250 deposit per person
To: Bharat Joshi, 65 Christie Street, Edison, NJ 08820 USA
Include 2 Passport Photos per person and Check payable in U.S. funds to:
BEST CRUISES
Name:
Date of Birth:
Citizenship:
Occupation:
(First,
MI, Last / As Shown in Passport for all)
(MM/DD/YY)
Name:
Date of Birth:
Citizenship:
Occupation:
Name:
Date of Birth:
Citizenship:
Occupation:
Name:
Date
of Birth:
Citizenship:
Occupation:
Name:
Date
of Birth:
Citizenship:
Occupation:
Choice of Cabin:
(Interior, Oceanview,
Balcony)
Address:
City:
State/Province:
Zip/Postal Code:
Country:
E-Mail:
Phone (R):
(B):
(Fax):
Gotra:
Native Place:
Please print. All the information is required to process
the registration.
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/cruise
participation. We further agree to release, indemnify and hold BEST
CRUISES of Edison and BRAHMIN SOCIETY OF NEW YORK, 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/cruise.
Signature:
Date:
For BSNY Use: Date Received:
Check #:
Total Amount:
Total Attending:
Notes: