ALPI Webinar Registration 29 Aug 2020
Tongue Tie Webinar with Dr Ankita Shah
Name *
Email *
Phone Number (For WhatsApp Group) *
Designation *
ALPI Member *
Payment Details Please submit your webinar payment to the bank details below (500 Rs ALPI Member, 1000 Rs Non-Member): ALPI Bank Details A/C Name - ALPI LACTATION LLP A/C No. - 10004939429 IFSC CODE - IDFB0020101, Bank Name - IDFC BANK LTD. BRANCH - BARAKHAMBA ROAD, New Delhi. After making payment please mention your payment details below- Date, Amount, Mode of payment (UPI/NEFT, Chq drop, etc), Bank Name & Reference number of the payment. *
Submit
Never submit passwords through Google Forms.
This form was created inside of Association of Lactation Professionals India. Report Abuse