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VEGINET Registration Form

ANNUAL MEMBERSHIP

Member Developed country Developing country
Institutional Member US$ 1000 US$250
Member US$100 US$25
Founder member US$50 US$12.50
    INR 600/-


VEGINET Registration Form

Fields marked with (*) are mandatory
First Name*:
Last Name*:
Organization/Individual*:
Degree/Position*:
Department*:
Complete Address*:
E-Mail*:
Country*:
Please tick the box, if this is your private address
Registration Type*:
Payment Details  
Payment Type*:
Amount Type*:
Amount*:
Receipt/DD/Cheque No*:
Date*:
    
 

PAYMENT MODE

The Payment be made by Bank Demand Draft or Cheque in favour of Dr. Prem Nath Agricultural Science Foundation (Project VEGINET), SB. A/C No. 0417101040780 (for Rupees) or SB A/C No. 0417101039815 (for USD) and payable at Canara Bank, Vyalikaval, Bangalore 560 003, Karnataka, INDIA.

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