NAME: ____________________________________________________________________
(FULL NAME IN BLOCK LETTERS)

ADDRESS: _________________________________________________________________

CITY: ____________________________________ STATE: _______ ZIP: ________

TELEPHONE: ______________________________ FAX: _______________________

E-MAIL: _________________________________________ DATE: ___________________________

NAMES OF ALL MEMBERS (INCLUDING YOURSELF): AMOUNT ENCLOSED

1. $____________________
(FULL NAME IN BLOCK LETTERS) – (Relation) (Age)

2. $____________________
(FULL NAME IN BLOCK LETTERS) – (Relation) (Age)

3. $____________________
(FULL NAME IN BLOCK LETTERS) – (Relation) (Age)

4. $____________________
(FULL NAME IN BLOCK LETTERS) – (Relation) (Age)

5. $____________________
(FULL NAME IN BLOCK LETTERS) – (Relation) (Age)

(PLEASE PRINT COMPLETE FORM CLEARLY) TOTAL: $________________________

If more than one member on the form, then, please mention the relationship with other members. Thank you.

Important Notes:
1. You will not be registered unless this form is completed and mailed to Sadhu Vaswani Center, 494 Durie Avenue, Closter, NJ 07624, along with the check payable to Sadhu Vaswani Center. Failure to complete this form as requested, might be a cause for rejection into Sadhana Camp, therefore, please, read & fill the form carefully.

2. Registration by telephone is not accepted.

3. Children under 5 years (as of August 1, 2002) are not allowed.

4. You may make photo copies of this form if you require additional copies for your relatives or friends should they wish to participate in the Sadhana Camp.
WE WILL NOT ACCEPT ANY APPLICATIONS RECEIVED AFTER AUGUST 5, 2002