16th Conference Shalakya Manthana - Participants Application

16th International Conference

"Shalakya Manthana"

Belagavi, Karnataka State, India

November 27-29, 2015

PARTICIPANTS APPLICATION FORM

Thank you for your interest in attending 16th International Conference "Shalakya Manthana" November 27-29, 2015, Belagavi, Karnataka, India. The conference supported by Global Ayurveda Conferences, LLC and Association of Ayurvedic Professionals of North America, Inc. USA. To reserve your seat, please fill out the information below.

First Name *

Last Name *

Title

Organization / Company

Address 1 *

City *

State *

Postal Code *

Country *

Day Phone *

Mobile Number: *

Email Address *

Confirm Email Address *

Referred by: *

Include my contact information on lists distributed to other attendees or sponsors. *

Yes

Registration includes 3 nights accommodation and meals

Early Bird Registration - $350.00 before Oct 31, 2015

Late Registration - $450.00 before Nov 10, 2015

Spot Registration - $600.00

Refund Policy: *

I have read and understand the following: NO REFUND WILL BE ISSUED. If for any reason the conference should be cancelled, Association of Ayurvedic Professionals of North America, Inc. and Global Ayurveda Conferences, LLC will refund the registration fee. We are not responsible for the refund of airfare, insurance or other costs.

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