Regional Grand Lodge of Southern India
Half-Yearly Meet - 2010
Pondicherry
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   REGISTRATION FORM LAST DATE FOR REGISTRATION - 15 JULY 2010  
Personal details
*Title *Name
*Lodge *No.
*Mailing Address:    
Tel. STD Code    Home       
Mobile    
E-Mail    
Food
Preferred Food     Mason  Veg   Non-Veg   None 
                            Spouse  Veg   Non-Veg   None 
Driver's Food Requirement  Yes   No 
TRANSPORT
Arrival On    By    Details 
Departure On    By    Details 
ACCOMMODATION (ALL A/C)
Room Type    Single   Double   None 
Preferered Hotel
1.  
2.  
3.  
PAYMENT DETAILS
1. Registration
Donor* (Includes spouse)  Rs. 5000 
Patron (Includes spouse)  Rs. 3000 
Mason with spouse  Rs. 1800 
Mason  Rs. 1200 
Child (Above 10 yrs.)  Rs. 500 
2. Accommodation
(No. of days x Tariff per day)		 No. of days
 Tariff
3. Transport Charges
(Refer Tariff under Transport)
Total  
* Donors are Eligible to display a banner of size: 5 x 2 ft.
Remittance by crossed demand draft or multicity cheque payable on a bank in Pondicherry in favour of 'RGLSI HYL MEET 2010'
Encl:  Demand Draft   Cash   Multi-city Cheque No.  
Dated     Drawn on  
Branch   for Rs.    (Ensure the value matches the total amount above)
SUBMIT
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