| Please fill in all the fields accurately. To add additional attendee(s), click on "Add New" link under "Accompanying Attendees" section, as appropriate. All required fields are marked with a *. For payment by mail, select "Continue & send check by mail". Please make check payable to "North American Konkani Association (NAKA)" and note your registration number in the memo field of the check and mail it to "Konkani Sammelan 2012, 14 Raphael Drive, Monmouth Junction, NJ 08852, U.S.A.". For online payment, select "Continue to online payment" to pay via PayPal. Registration and payment details will be sent to the email address you provided. |