BITM WINTER LUNCH & GET-TOGETHER, being held on 26th Jan 2020 * 12 Noon at central NJ

Registration includes BITMAA-NA membership (no additional cost)

Great, Can we get your full name?*

No of Adult(s) (?)

No of children (age 12 and under) (?)

Year of Graduation?

Branch?

Email id*:

Which Country do you reside in?*

Resident State?(?)

Resident Town/City?*

Near Which Large City:

Food Choice?:

Mobile No*:

Add me to the BITMAA-NA WhatsApp® Group

Questions/Ideas/Suggestions on BITM WINTER LUNCH & GET-TOGETHER: Send Mail

Amount Payable (US$)(?):

Mode of Payment(?):

Note:

Please transfer amount to following:
Swift code: CHASUS33, JPMorgan Chase Bank, New York, NY 10004, USA;

For Credit to: Affinity Federal Credit Union 73 Mountain View Blvd Basking Ridge, NJ 07920, USA ABA# 221283512

Final Credit to: BIT Mesra Alumni Association- North America 23 W301 Kimberwick Lane, Naperville, IL 60540 Account No: 808986040

Note:

Payment can be made Online by using your PayPal Account

Use your Debit or Credit card

to Pay.

Registration Fees:

State:

Mode of Payment:

Number of Attendees: