delegate registration form 2012 - baionline.in form copy-0155.pdf · the economic times acetech...
TRANSCRIPT
19 Oct 2012 Bombay Exhibition Centre, Mumbai, Indiath
DELEGATE REGISTRATION 8.30AM ONWARDS
First Name:-_________________________________________ Surname:____________________________________________________
Designation/Job Title:_______________________________ Department: _________________________________
Company Name:____________________________________ Company/Personal Website:______________________________________
Correspondence Address:__________________________________________________________________________________________
City:_____________________ Pin:_________________ State:___________________ Country:_______________________
Email:_______________________________
Mobile:_______________________Fax:__________________________
Phone(Office):____________________________Phone(Home):____________________________
(Include your country and area code)
DELEGATE REGISTRATION FEE: Corporate: Rs.10, 000.00 I Exhibitor / Association : Rs.6, 000.00
Please find enclosed our Cheque / DD No.________________________________ Drawn On_______________
For INR ___________________________ for _________________no. of delegate registrations.
_____________________(Signature & Company Stamp)
Cheque should be in favour of “Asian Business Exhibition & Conferences Ltd.”
Delegate Registration Form 2012
REGISTRATION OPTIONS:By Email-Scan and Email the completed form to [email protected] additional registration, Kindly photocopy this form and fill in the details and courier the form and documents to The Economic Times ACETECH secretariat.
FOR MORE DETAILS CONTACT:Amrita: +91 9920528280 I Valerie: +91 9920085555
(Kindly attach your visiting card / All fields are compulsory)Salutation:Arch./Prof./Dr./Mr./Mrs./Miss (Mention as appropriate)
The Economic Times ACETECH 2012 Desk: Asian Business Exhibi�on & Conferences Ltd. 530, Laxmi Plaza, Laxmi Ind. Estate, New Link Road, Andheri West, Mumbai 53, India | Ph.No: +91 22 66814800 | Fax: +91 22 2636 7676 | Email: [email protected] | Website: www.etacetech.com