Global Telangana Association (GTA)

Sep 22, 2024 -to-
Sep 30, 2024 (MST)

First Name *

Last Name *

Contact Email *

Date of Birth *

Gender *

Class Attending

Parent Name (At least one parent must be Telugu speaking ) *

Contact Phone *

Address (Please include full Address with Zip Code)*

By clicking this check box, that they have agreed to the terms and conditions.

Payment Info

$ 100.00

Card Number *

Card Name

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Year *

CVV *

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