REGISTRATION FORM
NORTHEAST GREEN SUMMIT 2020
AUGUST 6-8, 2020
IIT GUWAHATI

Contact:
Name: Bitapi Basumatari
Phone: 8638734442
Email: negreensummit@gmail.com

The last date for form submission stands at July 15, 2020, as of now. Any change of date will be updated here.
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ALL fields of information must be filled out COMPLETELY in order for this registration to be processed.
COMPANY/ORGANIZATION: *
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RANK *
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NAME: *
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ADDRESS: *
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CITY: *
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STATE *
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ZIP: *
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PHONE: *
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I WOULD LIKE TO JOIN THE SUMMIT AS: *
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I AM INTERESTED TO ATTEND THE TECHNICAL SESSION: *
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HOW DID YOU HEAR ABOUT US? *
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A copy of your responses will be emailed to the address you provided.
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