2023 Navasartian Sponsorship Form

PHG 2025 - Eastern USA Participant Payment Submission

(Only ONE participant per form)
Participant Name*

First NameLast Name
Phone Number*
E-mail*

Confirmation Email
Chapter*
Chapter Email
example@example.com
Payments you are submitting today (select all that apply)

Initial Deposit ($500)Second Deposit ($600)
This online payment includes a 3% credit card processing fee

To avoid the processing fee, you may mail a check to the Regional Executive office. Checks should be made out to 'Homenetmen Eastern Region', and include the participant's name and '2025 PHG' in the memo. Checks can be mailed to Homenetmen Eastern USA, 80 Bigelow Avenue Watertown, MA 02472.

This online payment includes a 3% credit card processing fee