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To start the application process for Richi Innovation Camp for Innovators, fill out the form below:

Innovator Name *

Innovator Name

First Name

Last Name

Email Address *

Date of Birth *

Date of Birth

MM

DD

YYYY

Innovator National Identification or Passport Number

Innovator Telephone Number

Educational Institution *

This field refers to the name of the educational institution where you are completing this course

Parent Name *

Parent Name

First Name

Last Name

Parent Email *

Parent Telephone Number *

Home Address *

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Price and payment method

Comments

Terms and conditions *

Credit card option selected

Click Buy now to proceed,and you will be transferred to a payment gateway, where will be the option to pay in full, or split the payment in two equal payments.

Note: By splitting the payment, you will need to do both payments always before 03/15/2019.

Richi Camp Bank Account info

Richi Childhood Cancer Foundation
Bank Of America, NA 222 Broadway, New York, NY10038

Account: 004648817211 / Swift Code: BOFAUS3N

Important: Please indicate the participant’s name in the subject of the transfer order + RIC 2019.

Note: You have the option to pay in full, or split the payment in two equal payments. By splitting the payment, you will need to do both payments always before 03/15/2019.

Price $6900

Price ~~$6900~~ is now $5900

Apply Innovators

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