CONFERENCE  REGISTRATION  FORM  (July 2^nd   - July 5^th, 2009)

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RESIDENTS FORM  (Click here for COMMUTERS Form)

 (At  CROWNE PLAZA, 110 DAVIDSON AVE, SOMERSET, NJ 08873. Tel: 732-560-0500)

PS: Please fill the forms and send at the earliest possible so that we can Register and also update our database for future correspondence.

Children’s First Names with their Ages :

1.            2. .    

3.            4. .    

Boarding  :  Breakfast –Continental - only for those who are staying in CROWNE PLAZA

Meals : Indian Cuisine

Meals Package 1 :  Thursday  Dinner (5.30PM to 7PM) – Sunday Lunch  ( 12Noon to 1.30PM)  July 2^nd to July 5^th , 2009

Thurs– Sun :- 3 Lunches (Fri, Sat, Sun), 3 Dinners (Thurs, Fri, Sat)

Adults - $ 60.00, Children  5-12 :- $30.00,    Children under 5yrs- FREE

No. of  Adults       No. of  Children      Total :-$

Meals Package 2: Friday Lunch – Sunday Lunch  ( 12Noon to 1.30PM) July 3^rd to July 5^th , 2009

Fri - Sun :-   3 Lunches,(Fri, Sat, Sun), 2 Dinners (Fri, Sat):

Adults :- $50.00 , Children   5-12yrs :- $25.00,    Children under 5yrs- FREE

No. of  Adults     No. of Children       Total :- $ 

Meals Package 3: Friday Dinner (5.30PM to 7PM)  – Sunday Lunch  (12Noon to 1.30PM)  July 3^rd to July 5^th , 2009

Fri - Sun :-   2 Lunches,(Sat, Sun), 2 Dinners (Fri, Sat):

Adults :- $40.00 , Children   5-12yrs :- $20.00,    Children under 5yrs- FREE

No. of  Adults     No. of Children       Total :- $ 

If you prefer Western Cuisine , the hotel has a restaurant and there are other places nearby to eat.

Lodging  : $ 80.00 Per night per Room. Most rooms have 2 double beds good for 4 adults and if you have a 5th one bring a sleeping bag. Some are King sized beds good for couples, and families with a little kid.

No. of  Nights        No. of Rooms     Dates  :    July 2^nd         July 3^rd       July 4^th        

 Total :               $

Grand Total : $ ( Payable to First Baptist Church, Caldwell )

Donation  :    $ ( Separate check, payable to AMG International, for Tax Deductible receipt .This money will be used to defray the travel , boarding, lodging and honorariums for the speakers.)

Please  mail  your Checks by  June 26^th , 2009 to :

Bro. David Chigurupati , 167 Sherman Avenue , Glen Ridge , NJ – 07028.

Tel: 973 743 8142 or 201 532 6082.  Fax : 973 743 5852

Please Scroll down to submit this form.

CONFERENCE  REGISTRATION  FORM  (July 2^nd   - July 5^th, 2009)

( Copy this freely. Give to others )

COMMUTERS FORM

PS: Please fill the forms and send at the earliest possible so that we can Register and also update our database for future correspondence.

Registration fee for Commuters 12 yrs and above :

$10.00 per person and a cap of  $25.00 per family.

Children’s First Names with their Ages :

1.            2. .    

3.            4. .    

Commuter  Meals  :- (Indian Cuisine.)  We encourage the commuters to Pre register the meals in order to make sure that everybody is served, and also for proper head count for the caterers.

 If you prefer Western Cuisine , the hotel has a restaurant and there are other places nearby to eat.

Individual meals -  Lunch/Dinner - Adults :- $10.00 , Children  5-12 yrs:- $5.00,  Children under 5yrs- FREE 

Please Mark the number of Commuter meals in the following Table:

Lunch  ( 12Noon to 1.30PM)          Dinner (5.30PM to 7PM)

Grand Total (Registration + Boarding) : $ ( Payable to First Baptist Church, Caldwell )

Donation  :  $   ( Separate check, payable to AMG International, for Tax Deductible receipt..This money will be used to defray the travel , boarding, lodging and honorariums for the speakers.)

Please  mail  your Checks at the earliest to :

 Bro. David Chigurupati , 167 Sherman Avenue , Glen Ridge , NJ – 07028.

Tel: 973 743 8142 or 201 532 6082. Fax : 973 743 5852