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11th National Conference On

Indian Medical Devices & Plastics Disposables Industry 2014

January 10-11, 2014

 

Download Registration Form

 


Registration Form

Name: _______________________________________________________________

Company:____________________________________________________________

Job Title______________________________________________________________

Address:______________________________________________________________

City:___________________________  Pin Code:_____________________________

State:___________________________ Country:_____________________________

Tel.:____________________________ Fax:_________________________________

Mobile:__________________________Email:_______________________________

Website:__________________________

I am interested in attending as follows : Kindly tick √

Download Registration Form

Participation Fees

Rs.

US$

Day 1 750/- 25

Day 2 750/- 25

Student 50% discount (Limited Seats)

Your Company Products / Services :

Please find a enclosed a cheque (At Par) / DD for Rs. ___________________

Cheque No:______________________ Date:__________________________

Bank:___________________________________________________________

Authorized Signature:______________________ Date:_________________

Payment: By cheque (At par) / DD in favour of Classic Computer Services, payable at Ahmedabad

Please send the above registration form duly filled in along with participation fees to:

Classic Computer Services
B-4 Mandir Apartment,
Opp. P&T Colony,
Jodhpur Char Rasta,
Satellite Road,
Ahmedabad - 380 015
Gujarat, India

Phone: 91-79 - 26740611
Mobile: 91-9825457563 (Mr. D.L. Pandya)
Telefax : 91-79 26754867
Email: mpds00@vsnl.com / dlpandya@gmail.com