Institutional Subscription Form

Institution Name

Department / Faculty

Contact Person

Designation

Postal Address for Delivery

City

State

PIN Code

Phone (Office / Mobile)

Email

Website (if any)

Preferred Start Month

Mode of Payment
UPI / Bank TransferCheque / DD

Additional Inclusions (Optional)
Feature institutional events/workshopsPublish student design workReceive publishing opportunity alerts

Authorized Signatory Name

Designation

Date