VIVEK JYOTI - REGISTRATION FORM

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VENUE:
Lakshmi Narayan Mandir
541A WARWICK ROAD I TYSELEY, BIRMINGHAM B11 2JP

For further details contact: Mrs. Shilpa Kulkarni 07711899530 / Mr. Madhava Turumella 07876616883
or email: pr@sv150.org.uk

Which event would you like to attend? You can choose BOTH *

Interactive Workshop 14:00 - 15:30 (Arrive by 13:30 for light refreshments)

Evening Ceremony 16:00 - 18:00 (Followed by a light dinner)

Both Workshop and ceremony

I won't be able to attend but I want to give my details for your future correspondence

Salutation *

Your First Name *

Your Surname *

Your email address *

Your Contact Phone Number Home

Your Contact Mobile Phone Number

Would you like us to contact you for our future events? *

Your County *

Your Town *

Please type the name of your town or villege

Your Post code *

Your County *

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