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IC InnovatorCLUB membership form
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Type of Membership
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Individual
Corporate
Institution
Virtual (choose virtual membership option below)
What is the duration of membership desired?
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One Year: Individual (INR/ USD) 9000/ 130, Corporate or Institutional (INR/ USD) 20000/ 300
Two Year: Individual (INR/ USD) 15000/220 Corporate or Institutional (INR/ USD) 35000/500
Three Year: Individual (INR/ USD) 21000 / 320, Corporate or Institutional (INR/ USD) 50000/700
One Year Virtual membership (INR/ USD) 1500/ 20
Two Year Virtual membership (INR/ USD) 2500/ 35
One Year Virtual membership (INR/ USD) 3500/ 75
Full Name (Individual / Company / Institution Name)
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Your answer
Email
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Your answer
Phone Number
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Your answer
Organisation / Affiliation & Contact Address
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Your answer
LinkedIn Profile / Any link for your bio?
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Your answer
How would you like to contribute to (IC)2?
Your answer
Any suggestions for the organisers to consider for the club activities
Your answer
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