Badr Ethiopia
Ethiopian Muslims Organization
10th Anniversary Convention
July 22 - July 25, 2010, Washington DC
Please fill out the following
Title
Miss
Mrs
Mr
Dr
Other
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
Students are entitled 10% discount (no more available)
Yes, I'm a student & will show ID before
receiving room key
Spouse First Name
Middle Initial
Last Name
(Enabled if Married or Family registration options are selected)
Dependents
Gender
Age
1.
Male
Female
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
>60
2.
Male
Female
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
>60
3.
Male
Female
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
>60
4.
Male
Female
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
>60
(Enabled if Family registration option is selected)
If you are senior (over age 60), you are entitled 10% discount (no more available)
Yes, I'm above 60
My spouse is above 60
Are you a member of Badr?
Yes
No
Would you like to pay for membership now and save 10%?
Yes
No
Payment
Choose your registration option
Full Registration
(includes accommodation, breakfast
and programs only)
Single: US $250.00 [Room shared with others]
Married Couple: US $290.00
[Separated couple that share room with others]
Family: US $390.00
[Room with up to three children {under the age 18}]
Note
: There is no online Daily Registration.
Please visit
www.badrsisters.org
for more detail.
Revise your payment
Base Price:
390.00
Early Bird Discount (10% until May 1st):
-49.00
Seniority Discount:
0.00
Student Discount:
0.00
Membership:
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
Cash
Money Order
Personal Checks
Via PayPal (will be redirected to www.paypal.com
when you hit Submit below)