Diwali Party Flyer - Khambhati Charity International

Venue:
Clinton Manor
2735 Route 22 West, Union, NJ 07083.
Date: October
10th,
(908) 687-7868
2015 (Saturday)
Time: 5:30 PM To 11:30 PM
$15.00 for Adult and $8.00 for Children (Under eight years)
Registration Fee:
[No fee for Children below three years of age]
Events: Live Singing, Dance Performances, Competitions, Garba and many more events!
Food: Vegetarian- Appetizer & Indian Dinner
Our Pride: Following individuals will be honored for their
outstanding services to society:
 Dr. Thakorbhai Rana- Cardiologist, Bronx Heart Medical
 Mr. Nareshbhai (Nicky) Kapadia (Khushboo Restaurant & Caterers)
 Mr. Arvindbhai Patel (Express Printing)
Committee Members / Contact Information
Vinod Vapiwala
(732) 574-3975
Indravadan Kapadia
(732) 261-6557
Gaurang Pandya
(732) 372-1302
Bhavesh Shah
(561) 308-2571
Website: http://www.khambhaticharity.org
 AARTI COMPETITION
We encourage you to participate in this competition. Please bring Only Handmade
and Homemade Aarti to the event & submit Aarti to one of the KCI committee
member before 6.30 pm.
 KARAOKE MUSIC
 LIVE SINGING- by Sanjay Shah, Priti Kandlur & Neeti Gupte
(Sanjay Shah- Singer/Musician/Teacher at Academy of Indian Music
Priti Kandlur- Poetry writer/Music composer/Singer
Neeti Gupte-one of the finalist of Sa Re Ga Ma Pa-Little Champs North
America-2014 edition)
 DANCE PERFORMANCES
 GARBA
 RAFFLE
Venue: Clinton Manor Banquet Hall
2735 U.S. Route 22 West, Union, NJ 07083
(908)-687-7868
Email: info@newclintonmanor.com
Directions:From Northern New Jersey
Garden State Parkway South to exit 140A
Follow Route 22 West
From Southern New Jersey
Garden State Parkway North to exit 140
Keep left after exit and Follow Route 22 West
Registration Form for Khambhati Charity International-Diwali Party
**** Please Return this registration form by post marked September-30th 2015****
“NOTE: Seats will be assigned based on registration form receipt date”
► NO PHONE or EMAIL registrations will be accepted ◄
► Late Payment $25 will be charged on post-mark dated after Sept-30 ◄
Name:
Address:
Phone
Email:
Adult (8 years and above): ________
Total Fees: Child (Between 3 to 8 years): Age: ______
$ 15.00 X ______ = $ ____
$ 8.00 X ______ = $ ____
Total number of children____
Total = $_________
Please send the registration form to “Khambhati Charity International” to following address:
Khambhati Charity International
C/O Mr. Harivadan Patel
19 Belaire Court,
Old Bridge, NJ 08857
732-679-0747
We request your participation in Music, Dance and/or any Performance of your choice.
Please provide details about your performance & participants. Send all information to Monika Patel
via phone (732) 616-4872 or email monika0611@gmail.com before Sept-20, 2015.
Details of the Participant & Performance
Name & Contact # :
Brief Details of
Performance:
Disclaimer: Khambhati Charity International and its Executive Committee & Trustees assume no liability or responsibility for any
personal injury, property damage or any loss incurred during this event.
KHAMBHATI CHARITY INTERNATIONAL
7 SUMMER HILL DRIVE, WARREN, N.J. 07059
khambhatis@gmail.com
NON-PROFIT TAX EXEMPT ID # 20-3545294
APPEAL FOR DONATIONS
Dear Khambhatis, Friends & Well Wishers,
With your untiring support, inspirations and gracious donations, we are moving forward to provide valuable
medical services to t h e p e o p l e o f our motherland, Khambhat and surrounding villages. Healthy life brings many
rewards & Joy. Our data is living proof...
Our recent addition Angiography Suit, only the 4th of a kind in Gujarat, is already functioning.
 You can donate ₹10,000 or $170 for one free angiography without stent for needy patient. Or
 ₹80,000 or $1,400 for angiography with stent for needy patient.
Diabetic needy patient
 You can adopt one needy diabetic patient for one year for ₹10,000 or $170. This will cover medicine, medical
consultation and lab work for one patient for one full year.
 Adopt one Dialysis Patient for one full year for ₹1,00,000 or $1,700.
Mammography Unit
 A Small donation of $11 will give a FREE mammogram to a needy woman
 Donate $100 or more to the Breast Cancer Awareness Gujarat project (Future mammography camps, campaigns
& charity events and recently initiated project Cancer Awareness through DRAMA “Street Play (Sheri Natak)” in
which volunteers go from street to street to act out cancer realities.
You and only you can make a big difference in someone’s life.
Your valuable donation is highly appreciated for worthy cause.
Na me
Addres s
E-Ma i l
Amount
Dona ti on Towa rds
$
Check #
₹
Adopt Di a beti c Pa ti ent
170
10,000
Angi ogra phy
170
10,000
Li fel ong Member ($ a da y)
365
21,000
1700
100,000
Adopt Di a l ys i s Pa ti ent
Note/s : e.g. In memory of
etc
Enter tota l a mount for
no. of vouchers to
buy/dona te under
Enter tota l i n Amount
col umn
Ma mmogra phy Vouchers @
$11/ea ch
Brea s t Ca ncer Awa renes s
Progra m. $100 or more
Please fill out & send this form along with y o u r check payable to "Khambhati Charity International, Inc." to the below address:
Khambhati Charity International
C/O Mr. Harivadan Patel
19 Belaire Court, Old Bridge, NJ 08857
732-679-0747
Thank You