Badr Ethiopia Logo Badr Ethiopia
Ethiopian Muslims Organization
10th Anniversary Convention
July 22 - July 25, 2010, Washington DC

Please fill out the following
Title   
Registrant's First Name  
Middle Initial
Last Name  
Local Organization
Position Held/Title
Mailing/Postal Address
City
State
Zip/Postal Code
Country
Mobile Phone
Home Phone
Email
 
Spouse First Name
Middle Initial
Last Name
(Enabled if Married or Family registration options are selected)

    Dependents   Gender   Age
1. 
2. 
3. 
4. 
(Enabled if Family registration option is selected)
 
  Note:

  1. Base price applies for upto 3 children
  2. $100 will be addded for each additional child (if any)
  3. $100 will be added for each senior dependent (if any)

Are you a member of Badr?
Would you like to pay for membership now and save 10%?
If you are senior (over age 60), you are entitled 25% discount

Payment
Choose your registration option
 (for yourself only)
     # of days:  

 Full Registration (includes accommodation, breakfast
                            and programs only)



Revise your payment
Base Price: 490.00
 Early Bird Discount (10% until May 1st): -49.00
Seniority Discount: 0.00
Additional Dependent Cost: 0.00
Membership (10% of $60.00): 0.00

Total to pay: 441.00
  • All fees are quoted in USA dollars.
  • Money Orders or Bank Drafts should be made payable to Badr Ethiopia.
  • Please mail Checks and Money Order to:

    5185 MacArthur Blvd. NW, Suite # 401

    Washington D.C. 20016

Choose your payment method