Registration Form - IWWA Coimbatore

Please enable JavaScript in your browser to complete this form.

1Delegate Registration

2Payment Mode

Name

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Whether Family/Spouse Accompanying

IWWA Center

Telephone number

Mobile Number

Email

Category	Up to 31.12.2023	After 31.12.2023
Members of IWWA	Rs.2500.00 + 18% GST = Rs.2950/-	Rs:3000.00 + 18% GST = Rs.3540/-
Non-Members	Rs:3500.00 + 18% GST = Rs 4130/-	Rs.4000.00 + 18% GST = Rs.4720/-
Students Members	Rs.1200.00 + 18% GST = Rs.1416/-	Rs.1500.00 + 18% GST = Rs.1770/-
Spouse	Rs.1200.00 + 18% GST = Rs.1416/-	Rs.1500.00 + 18% GST = Rs.1770/-
Foreign Delegates	USD300.00 + 18% GST = USD. 354/-	USD.350.00 + 18% GST = USD.413/-