The Fifteenth Annual Islamic Conference of
New England
and
The Fourth Annual Muslim Cultural Heritage Program
Registraion for October 2, 1999
| NAME:
…………………………………………………………………
Date: ……………………….. |
| ADDRESS:
STREET……………………………………………………………….Apt.#
…………… |
| CITY:……..…..…………………………..State:
……. ZIP……….……….…… |
| PHONE: ( )
…………e-mail address: ………….(Your
Registration will be confirmed by e-mail). |
|
| Please fill out the following for yourself and for members of your
family ($20/person, $15/student (10 years and up), and $5/child (4 - 9 years)), if
registered by 9/15/99, and $30/person, $25/student, and $5/child, if registered
after 9/15/99. Family Package (if registered by 8/15/99, otherwise, individual
rates will apply): $35 for a family of two; $45 for a family of three including
a child 10 yrs and older; $55 for a family of four including children 10 yrs and older;
add $10 each for additional members; include $5/child 4 - 9 yrs for child care. |
|
| # |
Name (Last, First, Middle) |
Age |
Adult |
Student |
Child |
Fee (by 8/15/99) |
Fee (by 9/1/99) |
Fee (after 9/1/99) |
| 1 |
|
|
|
|
|
$ |
$ |
$ |
| 2 |
|
|
|
|
|
$ |
$ |
$ |
| 3 |
|
|
|
|
|
$ |
$ |
$ |
| 4 |
|
|
|
|
|
$ |
$ |
$ |
| 5 |
|
|
|
|
|
$ |
$ |
$ |
| 6 |
|
|
|
|
|
$ |
$ |
$ |
| Sub-total |
|
|
|
|
$ |
$ |
$ |
| Donation |
|
|
|
|
$ |
$ |
$ |
| Total Amount Enclosed |
|
|
|
|
$ |
$ |
$ |
Please make your check/money order payable to Fifteenth Annual Islamic
Conference of New England and mail to:
Mrs. Noor J. Memon, 19 Raymond Street, Lincoln, RI 02865
For Office Use Only
| Entry # |
Check # |
Amount |
Date Received |
Received by |
| |
|
$ |
|
|
………………………………………………………………………………………………………………………
Please Cut Along the Dotted Line and Mail the Top Portion.
Arrangements for Special Conference Rate ($59/Night) have been made with Days Inn in
Cranston, Rhode Island. Reservations must be made by September 20, 1999 to get the
Conference Rate. To make Reservations, Please call Noel at (401) 825-0677 and mention
University of Rhode Island Islamic Conference, Confirmation #35628.
For Additional Information, Please Contact:
Mrs. Noor J. Memon—(401) 333-9352 (h)
Dr. Saleem Bajwa—(413) 532-5578 (h)
Imam Abdul Hameed—(401) 751-2263
Dr. Mohammed Sharif—(401) 874-4119 (w)/(401) 732-6951(h)
Return to Islamic Conference Home Page |