2018 Annual Meeting & Conference Registration
Saturday, 06/09/18 8:00 AM to Sunday, 06/10/18 9:00 PM at
Americas Best Value Inn, 485 S. Main St., Milpitas, CA 95035 1-855-873-6558

Your contribution to GIBV is tax deductible.
If you plan to send a check for registration or pay at the meeting, please register yourself by downloading this form and sending it to Ms. Somanjana Chatterjee, GIBV, 1532 Marlene Court, San Jose, CA 95118

First Name
Last Name
*Phone number (Area code first)
Use xxx-xxx-xxxx format. International applicants, please add country code + before phone number

*Is this cell (mobile) or land line number?
Cell/MobileLand line
*Email address

Where possible, avoid giving your work email address

Street Address

City

State
*Zip code/ Pin code
*Country
USAOther

Emergency Contact Information
*Contact name
*Emergency Contact Phone number

Use xxx-xxx-xxxx format. International applicants, please add country code + before phone number
*Gender
MaleFemale
*Age Group
18 to 3536 to 5051 to 6565 +

Middle Initial (Optional)


*On an average, how much time could you devote for GIBV work per month?
5 Hours6 to 15 Hours16 to 30 Hours31 to 60 HoursOther

*I will be
5 Driving to Americas Best Value Inn, 485 S. Main St., Milpitas, CAFlying to San Jose AirportOther

(If flying, send itinerary to office@gibv.org once you book the flight.)
*I will arrive on
Friday. June 8th evening/nightSaturday, June 9th by 8:00 AMOther

*I will depart on
Sunday, June 10 after 9:00 PMSunday, June 10 after 9:00 PMOther

*Transportation (The Hotel is 8.5 miles from the San Jose airport)
I am driving. I have my own transportationI am flying but will have my own transportation to and from the airport.I need help with the transportation to and from the San Jose airportOther

Only Vegetarian food will be served. Any Medical/Religious needs/condition that we should know about?

(Will be kept confidential.)
Registration Fee
I am OK with Shared room :$150Need Single room. Total fee :$300

Your contribution to GIBV is tax deductible. Registration fee of $150 includes all meals (two lunches, two dinners, two breakfasts, afternoon tea and snacks), and stay at the hotel on Friday and Saturday night (two persons sharing a double bed room.) There is no discount for not staying at the hotel.

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