BITMAA-NA – BIT Mesra Alumni in North America

BITMAA-NA RISE PHOENIX
PHOENIX - MARCH 19th 2022
Registration

Registrations for BITMAA-NA RISE Phoenix are being done here!

Registration includes BITMAA-NA membership (no additional cost)

Great, Can we get your full name?*

Are you a Grad Student? (?)

Yes No

Will your Spouse be joining in? (?)

Yes No

Will you have friend(s) joining? (?)

Year of Graduation(BITM)?

Branch?

Email id*:

Which Country do you reside in?*

Resident State?(?)

Resident Town/City?*

Near Which Large City:

Food Choice?:

T-Shirt Choice?:

Mobile No*:

Add me to the BITMAA-NA WhatsApp® Group

Questions/Ideas/Suggestions on RISE PHOENIX: Send Mail

Donation Amount (US$)(?):

Total Donation Amout:

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.

Donation Amount based on your good will: $75/$150/$300/$500/$1000/$2000
Spouse: $50
Grad Students: Free!
Friend:$75

If the Large City near your City set State as other than your City State, please set it to the State where your City is, it will not change the “Near Which Large City field.

If you choose to pay by Debit Card or Credit Card in Paypal, please hit the Back to "Return To Merchant" button to automatically list yourself as an Attendee.

Donation Amount based on your good will: $75/$150/$300/$500/$1000/$2000
Spouse: $50
Grad Students: Free!
Friend:$75

Registration Fees:

State:

Mode of Payment:

Number of Attendees: