Chinmaya Mission Northwest Indiana

To contact us... Please fill out the form below to register you and your family for Chinmaya Mission classes at the Northwest Indiana Regional Center. Please note that a tax-deductable donation of $75 per person or $150 per family is strongly recommended and appreciated. To make this payment, please mail the check to Chinmaya Mission Northwest Indiana Regional Center, 8605 Merrillville Rd., Merrillville, IN 46410. Classes bigins Sept 17th 2006/June 10th2007 The field marked with (*) are required fields. * Year of Enrollment (Starts in August, Ends in June) [Select One]2005-20062006-20072007-20082008-20092009-2010 * Family Name * Mother's Name * Father's Name * Address Line 1 Address Line 2 * City * State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashingtonWest VirginiaWisconsinWyoming * ZIP Code * Home Phone * Cell Phone(s) (Please Indicate Name) * E-mail Address(es) (Please Indicate Name) Child's Name, Birthday (MM/DD/YY), Grade (Indicate Information For Each Individual Child) * Enroll Mother in adult discussion group? Yes No * Enroll Father in adult discussion group? Yes No or Call Padmini Makam at 219-322-7268 or Suchita Shah at 219-924-7105. Online Form Photo Album 1 Photo Album 2 Registration form Hindu festivals Mission Calender 2008 Bhajan Sandhya Golf Turnament Ad Form Monthly Values Swami Chidatmanandaji