Atmiya Amrut Mahotsav Registration

Fields marked with an asterisk (*) are mandatory.
Instructions
*     Use this form to enter information of all family members attending Amrut Mahotsav.
*     This form should not be filled by devotees residing in India.
*     This form will require 10 to 15 minutes to fill.
The Primary Contact Of The Family
First Name:*   Last Name:*
Gender:* Age:*

Current Residence and Contact Details
Country:* State:*
Address Line 1:* Address Line 2:
City:* Zip code:*
Home Phone:* Cell Phone:
Email:* If you are new to YDS, who is your reference contact:

Details Of Your Trip To India
India Arrival Date:* Date India Flight No:
Airport:*

How Can We Contact You In India? Enter Your India Contact Information
Address in India: City:
Phone Number:

"Accommodation" Plans During The Mahotsav
Accomodation will be provided only from Dec 31st 2008 to Jan 4th 2009 on first come first basis.

Vishwakalyan Atmiya Mahayagna on January 1st 2009
Yajman seat Category will be given to you based on availability. Will you and your family attend Yagna?


Number of People Attending Yagna for this Registration.
Yajman ($251.00 per Person)   
Yajman ($500.00 per Couple)   
Rajashree Yajman ($1,100.00 per Couple)   
Maharshi Yajman ($2,500.00 per Couple)   

  Brahmarshi Yajman For the Mukhya Vedi, please select this checkbox and Vishwamangal Mahayagna committee will contact you .

Additional Family Members Attending Amrut Mahotsav with you
First Name:* Last Name:*
Age:* Gender:*
India Arrival Date:* Date India Flight No:
Airport:* Accomodation:*
     


Please click the "Submit" button below upon completion of the form