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Register for the Sammelan

Note: There will be INCREASE in registration fee, starting April 30th. We encourage you to pay registration fee by check which will help us reduce the cost of your Sammelan.

CLICK HERE FOR FEE DETAILS & REGISTRATION INSTRUCTIONS

Click Here to Volunteer for the Sammelan

Personal Information

Title
Last Name * 
Middle Initial
First Name * 
Gender * 
Age Group * 
Country of Residence * 
Address * 
Address2
City * 
State * 
Zip/Postal Code * 
Are you a full-time student studying in North American College or University?  ***   Yes   No

Contact Information

Email ID * 
Contact Phone Number * 

Other Information

This is my first Konkani Sammelan
Do you want to volunteer? Yes   No
Do you want to Donate? Yes   No
Donation Amount
$
Accompanying Attendees
Last name First Name Gender Age Group Foreign Student?*** Fee

Total Fee:

*** Identification card issued by North American College or University needs to be produced at the event.