Online Pre-registration Form for Ananda Kanan 2010 Summer Conference - June 27th to July 5th, 2010

Please provide the following contact information:

First Name
Last Name
Sanskrit Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

    Families: Please provide the name and gender (enter age for youth/children) for those attending:

Adult/Age	Name (Sanskrit, First, Last Name)	Gender
		_ Male Female
		_ Male Female
		_ Male Female
		_ Male Female
		_ Male Female

	BILLING - I will be paying by Check Credit Card Cash on arrival
	I am mailing the check below to Ananda Kanan 3157 County Road 1670, Willow Springs, MO 65793
Check #	Amount

To pay by Credit Card call to Ananda Kanan at 417-469-4713

Fees: Pre-Paid (by June 10th) / At-Gate
Singles:                 $420 / $445
Couples:                 $720 / $795
Single parent:         $375 / $405
Senior citizens (>65): $365 / $405
Full time students: $325 / $355

Part-time attendance:
1. 6 days: $380 / $400
2. 5 days: $340 / $370
3. 4 days: $280 / $320
4. 1-3 days: $260 / $290

Children:
1. 0-5 years Free Fee
2. 6-11 years: $180 / $190
3. 12-17 years: $200 / $210

Tents and Campers: 10% discount

International Visitors:

North East Asia, Australasia, Oceania, Europe: $290

South America, Middle East, South East Asia, South Asia, Central America, Caribbean, Mexico: $200

Africa: $150

Fees include accommodation, food and participation in all programs. The deadline for pre-registration is June 10th.

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Time and date of arrival:

Do you need to be picked up? No Yes      If, Yes, Where ? At Springfield Airport Do not need pick up. Rolla Greyhound Station Springfield Greyhound Station Other-Specify below

Details of transportation arrangements (flight number, airlines, bus schedule, etc.)

Remarks: Any other remarks regarding special needs, accommodations, etc.