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ONLINE REGISTRATION FOR PILGRIMAGE TO THE URS OF HAZRAT INAYAT KHAN
NEW DELHI, INDIA, FEBRUARY 2012

Name:
Email: 
Mailing Address:
City:     ZIP/Postcode:
State or Province:
Country:
Phone:
Other participant(s) you are registering:

Comments if any:


To reserve your place, submit this form and send your deposit check or credit card information to the registrar:

      Basira Beardsworth
      PO Box 22, Makawao, HI 96768
      Phone: 808-280-2710
      Secure Fax: 877-782-4461       ruhaniat@mail.com

Your non-refundable deposit of $400 (280€) will reserve your place. Balance of $1,700 (1,220€) is due by Dec 10, 2011.
  • Payment by Check: Make check payable to Sufi Ruhaniat International. Write "India 2012" on the memo line.
  • Payment by card: Please mail or fax to the registrar (see above) the card number, expiration date, security code (CVC), and billing ZIP code.