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/Mobile Land line
*Email address

Where possible, avoid giving your work email address

*Street Address

*City

*State
*Zip code/ Pin code
*Country
USA Other

Emergency Contact Information
*Contact name
*Emergency Contact Phone number

Use xxx-xxx-xxxx format. International applicants, please add country code + before phone number
*Gender
Male Female
*Age Group
18 to 35 36 to 50 51 to 65 65 +

Middle Initial (Optional)


*On an average, how much time could you devote for GIBV work per month?
5 Hours 6 to 15 Hours 16 to 30 Hours 31 to 60 Hours Other

*I will be
5 Driving to Americas Best Value Inn, 485 S. Main St., Milpitas, CA Flying to San Jose Airport Other

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

*I will depart on
Sunday, June 10 after 9:00 PM Other

*Transportation (The Hotel is 8.5 miles from the San Jose airport)
I am driving. I have my own transportation I 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 airport Other

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 :$150 Need 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.