Indian Voice Association
Deenanath Mangeshkar Hospital & Research Center
Erandwane, PUNE 411 004. INDIA.
Tel. : + 91 020 6602 3511
Email : voicelaserdmh@hotmail.com

Membership Form ( Membership of the institute is by application / invitation only )
Name :
Age :
Sex :
Qualification :
Institution :
Department / Position :
Address :
City :
Zip code :
State :
Country :
Phone: ( Landline / mobile ) :
Email :
Profession :
Years of Training or Practice :
Member of any voice association :
Participated in voice seminars :
Hobbies / extra curricular activities :
Any other remarks :

IVA Membership

• ENT Surgeons, Voice Consultants, Performing artists, and anyone interested in voice care can join as IVA life member.
• IVA Membership form is available on our website ‘www.voicelaser.com’.
• Effective 24th February 2005 the life membership fee is revised to Rs.1000/-. One can become life member by invitation / application.
• The fee is subject to revision as and when required.
• In case of cancellation of membership no refund of fee would be given.
• IVA organises seminars from time to time. These are declared on our website and other appropriate media. The members are requested to log on to our website for the upcoming seminars.
• IVA members as well as any one interested in voice care can participate in these seminars.
• IVA Members wishing to participate in the seminars should submit their registration along with seminar fee before the prescribed time limit. IVA Life Members would be given 20% concession in admission passes of IVA programmes.
• Fees will be acceptable only by demand draft drawn in favour of ‘J.P.M.T.’.
DEENANATH MANGESHKAR HOSPITAL & RESEARCH CENTER