VSNA 46th Convention Online Registration

VSNA 46th Convention Online Registration

Please fill out the form with accurate information. Current price is $175 for adults & $150 for children (5 to 13 Yrs.).
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Payment Options*

Zelle (Preferred)CheckStripe / Debit or Credit Card
Total Amount
Total amount for Stripe / Debit or Credit Card
Stripe / Debit or Credit Card Checkout Total

prevnext( X )
USDTotal VSNA Convention Registration Amount
For check payment, make it payable to:
"Veerashaiva Samaja of North America (VSNA)" add memo as "VSNA 46th Convention 2023" and mail the completed form (sent to your email) to the following address:
Veerashaiva Samaja of North America
10310 Meadow Crest Ln., Johns Creek, GA 30022
Attn: Nagarathna Totada
Note: Your total amount will be increased by 3% to cover the transaction fee charged by Stripe.

For Stripe / Debit or Credit payments, Please click on the submit button, which will take you to a payment screen, where you can enter your payment details for processing, you will return back to this screen for registration confirmation.
For Zelle transfer, please make payment to:
" gavsnacon23@gmail.com " and add to the memo field your Name and the Registration ID number of your submitted registration form.
For any questions or clarifications, please contact:
Registration Committee Lead: Nagarathna Totada - vsnagacon23reg@gmail.com
More contact information:
gavsnacon23@gmail.com.
Should be Empty:

	Number attending	Total
Adult registration (Age 13+) - $175/person
Children (5 to 13) < 5 years free - $150/child
Total amount for family registration