Registration - USA

To register, please fill the registration form below.

1. Registration fee is $27. This will include ORDI t-shirt, Racefor7 run registration and a memento for participation. 
2. Participants are required to make payment using one of the four payment methods before submitting this registration form.
3. Registration is free for patients with rare diseases and for the differently abled.
4. The funds raised from this event will go towards meeting the needs of rare disease patients and conducting events to spread awareness about rare diseases.
5. All participants who finish the race will receive a medal as a memento of appreciation for their support.
6. Click here for Participant Information Document - Updated Feb. 15. 2018

Fill the below details to register

1. Location-- Select Location --Washington, DCGreenville, SC
2. Full Name(required)
3. Gender- Select -MaleFemale(required)
4. Date Of Birth (mm/dd/yyyy)(required)
5. Mobile Number(required)
6. Email Id(valid email required)
7. Organization/Institution
8. Address(required)
9. Blood Group- Select -A+O+B+AB+A-O-B-AB-(required)
10. T-Shirt Size- Select -SMLXLXXL
11. Emergency contact: Name(required)
12. Emergency contact: Phone(required)
13. Registration Charges: $27
14. Payment Mode- Select -Online payment – PayPal Payment GatewayPay via Cheques / DDTransfer by emailTransfer by phone number(required)
15. Reference number of bank transaction / Cheque No
17. Comments if any
18. I hereby agree to the Terms and Conditions (Click here to read - Updated) before participating in
    Organization for Rare Diseases India – Race for 7 awareness run

 

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We have three modes of payment available:

1. Online payment - PayPal Payment Gateway

2. Send Checks to the address below:

Organization for Rare Diseases India
13687 Neil Armstrong Ave Herndon, VA 20171

3. Transfer by email: harsha@ordindia.org

4. Transfer by phone number: 540-239-0465

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Contact details for any assistance:

Dr. Harsha Rajasimha
Founder Member & Director,
Organization for Rare Diseases India,
13687 Neil Armstrong Ave Herndon, VA 20171
Email: usa@ordindia.org
Phone: 001 540.239.0465

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