Download Registration Form

Conference On

Indian Medical Devices & Plastics Disposables Industry 2011

Feb. 11 - 12, 2011

Participation Fees & Registration Form

Participation Fees

Participation fees for only one day : Rs. 800/- (US $ 40)

Registration Form

Name: _______________________________________________________________

Company:_____________________________________________________________

Job Title______________________________________________________________

Address:______________________________________________________________

City:___________________________  Pin Code:_____________________________

State:___________________________ Country:_____________________________

Tel.:____________________________ Fax:_________________________________

Mobile:__________________________Email:_______________________________

Website:__________________________

Kindly tick √

Member:

(A) Member of supporting Organisation                        □

(B) Subscriber: Medical Plastic Data Service                 □
(C) Listed company on medisourceasia.com                   □

What is your company’s primary business?
 

I am interested in

a) Conference On Both Days                   □
b) Conference On following Day
Feb. 11, 2011    □     Feb. 12, 2011    □

Please find a enclosed a cheque / DD for Rs. / US $______________________

Cheque No:______________________ Date:________________________

Bank:________________________________________________________

Authorized Signature:______________________ Date:________________

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

Online Payment:

Please follow the links below to proceed to online order form.

For Participants from India Two Days (Feb 11-12, 2011) For International participants Two Days (Feb 11-12, 2011)
All major credit cards processed: Visa Card, American Express, Diners Club, JCB Card, Citibank E-Card including those cards which are only valid in India and Nepal
Direct Debit facility to twelve major Bank's accounts:  HDFC Net banking account, ICICI Infinity, Citibank NRI A/C, Citibank Current A/C, Citibank Suvidha A/C, IDBI iNet banking, UTI iConnect, Centurion Bank.