Name * First Last * Last Email * Attending? * Yes No Affiliated with which BAPS Mandir * Select Albany, NY Allentown Atlantic City Boston Cherry Hill Clifton Delaware Edison Saturday Edison Sunday Groton Hagerstown Harrisburg Hartford Jersey City Lansdale Long Island Chantilly (Northern Virginia) Morgantown New Haven New York Parsippany Philadelphia Richmond Roanoke Robbinsville Scranton South Boston Springfield Syracuse Vermont Virginia Beach Warrington Washington DC Westborough Westchester Rochester Country * Canada United States Address * Address Line 2 City * State * AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY State * Zip * Phone Number * Cell Fax Age * < 22 23 - 35 36 - 50 51 + Have you attended a BAPS Women’s Conference before ? * Yes No Profession * Company/Organization How did you hear about this year’s Women’s conference ? * Announcement made in BAPS Mandir event Invitation from BAPS in the mail Invitation from BAPS via email Learned about the event while visiting the BAPS Mandir Personal invitation from a friend at BAPS Personal invitation from a friend, coworker, neighbor From a different organization where you are a member Other Please answer the following questions .This information will be strictly Confidential through Women’s Conference organizers of BAPS, and will only be used to understand the demographics of the audience. How often do you come to the BAPS Shri Swaminarayan Mandir? * Every Sunday A couple of times a month, usually not on Sunday Only for special occasions and celebrations The BAPS Mandir holds many events throughout the year to celebrate Hindu festivals as well in support of the community through BAPS Charities. If you would like to receive information about some of these events, please let us know what would interest you below. Click all that apply Health fair Walkathon Other medical events such as blood drives, flu shots, etc. Cultural programs for children Celebration dates of Hindu festivals Music and tabla classes for children (as available) Gujarati classes for children Spiritual classes for all age groups