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Your Name:
Postal Address:
Business Phone
City
Country
Zip Code
Email
Notes & Comments: (Please mention the workshop you would like to conduct and for which target group)

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or write to Programme Co-Ordinator - Workshops Suprajiv Foundation #31, 12th Cross, First Stage, Indiranagar, Bangalore - 560 038 INDIA. Tel.: +91-80-2525 6456 E-mail : srfoundation@vsnl.net