Chinmaya Gita Samarpanam Registration

Thank you for choosing to be a part of this momentous event, a sacred opportunity to come together in devotion, uplift our minds, and immerse ourselves in the timeless wisdom of the Lord!

Important note: Registration is required per person. Within a family, please ensure that all individuals are registered and have individual devices.

Are you an Indian citizen registering from India? If so, please visit the India webpage to register. https://chinmaya75.org/amrit/chinmaya-gita-samarpanam-form

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How many people are you registering today (including you)? *

*Maximum 10 registrations per submission

Name *

Email *

Contact Phone (WhatsApp) *

Address

Address Line 1 *

Address Line 2

City *

State / Province / Region *

Postal Code *

Country *— Select Choice —AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCôte d’IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorth MacedoniaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican City (Holy See – UN Observer)VenezuelaVietnamYemenZambiaZimbabwe

Are you a Chinmaya Mission Member? *YesNo

Which Chinmaya Mission Center are you associated with? *— Select Choice —Chinmaya Mission Alpharetta – GurukulChinmaya Mission Alpharetta – Marietta ChapterChinmaya Mission Ann ArborChinmaya Mission Arkansas – MahaveerChinmaya Mission Atlanta – Hindu Temple of AtlantaChinmaya Mission Atlanta – Niketan (Norcross)Chinmaya Mission Austin – Chinmaya SundaramChinmaya Mission BakersfieldChinmaya Mission BeaumontChinmaya Mission Boston – MarutiChinmaya Mission Boston – Metrowest, WestboroughChinmaya Mission Boston – NewtonChinmaya Mission Boston – Seacoast, Stratham, NHChinmaya Mission BuffaloChinmaya Mission Calgary – GiridharChinmaya Mission ChicagoChinmaya Mission Chicago – GangotriChinmaya Mission Chicago – YamunotriChinmaya Mission Columbus – ArchanaChinmaya Mission Dallas – ChitrakootChinmaya Mission Dallas – SaaketChinmaya Mission Dallas -FriscoChinmaya Mission Fairfield – Chinmaya SaraswatiChinmaya Mission FlintChinmaya Mission FresnoChinmaya Mission Guyana – North Mon Repos, GuyanaChinmaya Mission HaltonChinmaya Mission Houston – PrabhaChinmaya Mission Huntsville-MadisonChinmaya Mission Kansas – Harmony Middle schoolChinmaya Mission Kansas CityChinmaya Mission KissimmeeChinmaya Mission LA – Agoura HillsChinmaya Mission LA – Antelope ValleyChinmaya Mission LA – Apple ValleyChinmaya Mission LA – BreaChinmaya Mission LA – Rameshwaram – TustinChinmaya Mission LA – Rancho CucamongaChinmaya Mission LA – RedlandsChinmaya Mission LA – San GabrielChinmaya Mission LA – Santa ClaritaChinmaya Mission LA – Southbay Balvihar centerChinmaya Mission Little Rock – UUCLR Little Rock, ArkansasChinmaya Mission LondonChinmaya Mission MilwaukeeChinmaya Mission MinneapolisChinmaya Mission New Jersey – Chinmaya VrindavanChinmaya Mission New Jersey – MahwahChinmaya Mission New Jersey – RamdootChinmaya Mission New OrleansChinmaya Mission New York – AlbanyChinmaya Mission New York – Bala Vihar ManhattanChinmaya Mission New York – Downtown ManhattanChinmaya Mission New York – Hindu Samaj Chinmaya Bala Vihar, Wappingers Falls, NYChinmaya Mission New York – North Presbyterian Church, WilliamsvilleChinmaya Mission New York – Vaishnav Temple of New YorkChinmaya Mission New York – WestchesterChinmaya Mission NiagaraChinmaya Mission NW ArkansasChinmaya Mission NWI – OmkaraChinmaya Mission OrlandoChinmaya Mission Orlando – JacksonvilleChinmaya Mission OttawaChinmaya Mission PeoriaChinmaya Mission PhoenixChinmaya Mission Pittsburgh – AmarnathChinmaya Mission Pittsburgh – Chinmaya SanjeevaniChinmaya Mission PortlandChinmaya Mission Raleigh-DurhamChinmaya Mission Rio GrandeChinmaya Mission SacramentoChinmaya Mission San AntonioChinmaya Mission San DiegoChinmaya Mission San Jose – BerkeleyChinmaya Mission San Jose – Dana AveChinmaya Mission San Jose – FremontChinmaya Mission San Jose – Mountain house locationChinmaya Mission San Jose – San MateoChinmaya Mission San Jose – San RamonChinmaya Mission San Jose – SandeepanyChinmaya Mission SeattleChinmaya Mission StamfordChinmaya Mission TorontoChinmaya Mission Tri State – South Fayette Middle School (South Hills), PAChinmaya Mission Tri-State – Chinmaya KedarChinmaya Mission Tri-State – Chinmaya MadhuvanChinmaya Mission Tri-State – Chinmaya RamalayaChinmaya Mission Tri-State – Chinmaya SudharshanChinmaya Mission Trinidad – Tobago CouvaChinmaya Mission VancouverChinmaya Mission WRC – Chinmaya SomnathChinmaya Mission WRC – Chinmayam – Silver SpringChinmaya Mission WRC – Frederick ChapterChinmaya Mission WRC – Richmond ChapterHindu Temple, Brandon, MSChinmaya Mission KenyaChinmaya Mission UgandaOther

Your Chinmaya Mission Center Name *

Are you a member of any other organization? *YesNo

Which organization are you associated with? *

Additional Registrants Information

Registrant 2 Name *

Registrant 2 Email

Registrant 2 Phone (WhatsApp)

Registrant 3 Name *

Registrant 3 Email

Registrant 3 Phone (WhatsApp)

Registrant Donation Donation

Registrant 4 Name *

Registrant 4 Email

Registrant 4 Phone (WhatsApp)

Registrant 5 Name *

Registrant 5 Email

Registrant 5 Phone (WhatsApp)

Registrant 6 Name *

Registrant 6 Email

Registrant 6 Phone (WhatsApp)

Registrant 7 Name *

Registrant 7 Email

Registrant 7 Phone (WhatsApp)

Registrant 8 Name *

Registrant 8 Email

Registrant 8 Phone (WhatsApp)

Registrant 9 Name *

Registrant 9 Email

Registrant 9 Phone (WhatsApp)

Donation towards Registration for chanting and receiving World Record certificate (per chanter)

Choose the donation amount for Registration and additional donation (Yatha Shakti) *

• Minimum (per registrant) – $5.00
• Additional Donation – $51.00
• Additional Donation – $101.00

* All donations are tax deductible in the USA. If you are paying from outside the U.S., your card will be charged the equivalent of the displayed dollar amount in your country’s currency.

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