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Texas Diwali Event Registration 2018
Click Here To Open Participation Form
Registration Form
*
Indicates required field
First Name
*
Last Name
*
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*
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Please do not hesitate to contact us with questions or concerns.
Age Group
Rate
Kids (Ages under 10 year)
Free
Adults (Life Member)(10 years and above)
$20.00
Adults (Non Life Member)(10 years and above)
$30.00
Adults (Life Member and Non Life Member Both)(10 years and above)(after deadline Date : 10th November 2018)
$30.00
Senior citizen (60 years and above)
$20.00
Sponsorship / Donation
Free Tickets
$250 to $499
2
$500 to $999
4
$1000 +
6
Choose Sponsorship/Donation Level
Select
Event activity Sponsor ($1000)
Silver Sponsor($2000)
Gold Sponsor($3000)
Platinum Sponsor($5000)
Other
Enter Amount ($)
Free Ticket (check for free ticket if you are applicable for that)
Pay Full Ticket Amount ($40)
Add Member
Full Name*
Relationship*
Age Group
Gender*
Food Type
Fees($)
#
Self
Wife
Husband
Son
Daughter
Father
Mother
Other
International
-- Select --
Child(under Age of 10)
Adult(30 Years and below)
Adult(31 Years and above)
Senior citizen(60 Years and above)
Male
Female
Select Food Type
Vegetarian Gujarati with onion & Garlic
Vegetarian Gujarati without onion & Garlic
Torchys Taco
Total Amount ($)
Payment Type:-
By Credit Card/ Debit Card/ Paypal
By Check & Cash
Payment Received($): 0
Total Fees($)
Convenience Fees (2.9% + $0.30)
:
Ok