2024 Region 5 Sai Retreat Registration

Form Version

Email Sender Name

Primary Contact's First Name*

You are the 'Primary Contact' if you are submitting this Form and paying for the Retreat for all the People being registered as part of this submission.

Primary Contact's Last Name*

Primary Contact's Full Name

Primary Contact's Email*

example@example.com

Primary Contact's Phone Number*

Please enter a valid phone number.

Your Sai Center

Table 1: People in your Group / Family attending the Retreat

	Display Name (for Name Badge Purpose)	Gender
Mem 1
Mem 2
Mem 3
Mem 4
Mem 5
Mem 6

Table 2: Member Registration Options [Most Important Inputs that determine Retreat Registration Fee calculation]

	Name (for Name Badge)	Stay Option	Meals	Age Group	Amount
Mem 1 (You)
Mem 2
Mem 3
Mem 4
Mem 5
Mem 6

Member 1 - Name

Member 2 - Name

Member 3 - Name

Member 4 - Name

Member 5 - Name

Member 6 - Name

Chosen Package for Member 1

RegCode1

Amount1

Chosen package for Member 2

RegCode2

Amount2

Chosen package for Member 3

RegCode3

Amount3

Chosen package for Member 4

RegCode4

Amount4

Chosen package for Member 5

RegCode5

Amount5

Chosen package for Member 6

RegCode6

Amount6

Member 1

Member 2

Member 3

Member 4

Member 5

Member 6

Total Amount

Please let's know the number of people by Age Group; we just want to cross check with what you indicated in the table above. If the information doesn't match, we will reach out to you to seek more clarity. Please make sure the numbers in the following table match the information given in the table above.

Total Registration Fee for your Group

Total Amount of Registration Fee for your Group

Sponsorship Amount

Please consider helping other devotees who are interested in attending the Retreat but can't afford to pay.

Grand Total Amount

Grand Total (Reg Fee + Sponsorship) Amount

Payment Option*

Pay by PayPal / Credit Card / Debit Card

This Payment Option allows you to pay ${grandTotal} using your PayPal account [if you have one] or pay using a Credit Card or Debit Card on the highly secure PayPal website. We will not collect your Credit Card or Debit Card information at all on our website.

If you are comfortable using Zelle Pay, please consider paying via Zelle Pay to eliminate delays and any mailing issues.

If you haven't used Zelle Pay so far and willing to try a Test Payment by sending $1 to us to our email address: payment@sathyasaicenters.org from your Bank's Online Zelle Payment page.

If you need any help with the Registration or Payment, please email us at retreat@sathyasaicenters.org

Thank you, Sai Ram.

Pay by Check

This Payment Option allows you to pay your Retreat Registration Fees by maining your Personal Check.

If you choose this Option, please use the following information while mailing the Check.

Please write a Check for the full amount ${grandTotal} in favor of "Sathya Sai Conference" and mail it to the following address.

Shankar Uppala
1901 Redwood lane
McHenry IL 60051

If you are comfortable using Zelle Pay, please consider paying via Zelle Pay to eliminate delays and any mailing issues.

If you haven't used Zelle Pay so far and willing to try a Test Payment by sending $1 to us to our email address: payment@sathyasaicenters.org from your Bank's Online Zelle Payment page.

If you need any help with the Registration or Payment, please email us at retreat@sathyasaicenters.org

Thank you, Sai Ram.

Pay via Zelle

This Payment Option allows you to pay your Retreat Registration Fees ${grandTotal} via Zelle Pay.

If you haven't used Zelle Pay so far and willing to try a Test Payment, please send a Test payment of $1 to us to our email address: payment@sathyasaicenters.org from your Bank's Online Zelle Payment page or Zelle App on your phone.

If you need any help with the Registration or Payment, please email us at retreat@sathyasaicenters.org

Thank you, Sai Ram.

Scholarship

This Payment Option allows you to seek Scholarship / Financial Assistance to pay for your Retreat Registration Fees ${grandTotal}. This information is kept strictly confidential.

We will get back to you in a couple of Days to confirm your Registration.

If you have any questions about the Retreat, please email us at retreat@sathyasaicenters.org

Thank you, Sai Ram.

Grand Total is Empty; Please select appropriate values in Table 2 so that the correct Amount is calculated.

Remember to 'Review' the form and make sure all entries are correct before clicking on the SUBMIT Button below

2025 Region 5 Sai Retreat Registration

2025 Region 5 Sai Retreat Registration - Main Form v3N