Indian Petrochem - 2018

Documentation Registration Form

Documentation consists of presentations made at the conference by eminent industry speakers, both as a hard copy and in the form of a CD.
Documentation fees for Indian Companies is INR 8,000
Documentation fees for Overseas Companies is USD 250/-
1) This registration form contains two parts :
Part A - for registration,
and Part B - for payment.
2) To register, fill Part A online and transmit it by clicking Submit button.
Fields marked (*) are mandatory to provide.
3) The computer will acknowledge transmission.
Please press Back to return to the form.
4) In case of card payment, print the entire form, complete card details in
Part B by hand, sign it & send the form by courier or fax at 91-22-23851431.
Part A :
Title :
Name * :
Surname * :
Address * :
City * :
Zipcode * :
Country * :
Position :
Company * :
Business :
Mobile * :
Tel * :
Fax :
Email * :
Payment By * : ChequeCredit CardBank Transfer
Currency * : US $Indian Rupees
Amount * :
Part B :
Cheque Payment
Enclose the cheque (payable at Mumbai) favouring "Elite Conferences Pvt. Ltd.".
Kindly send the cheque along with the form & courier it to : "Elite Conferences Pvt. Ltd. 606, Bhagya Laxmi; Kennedy Bridge, Girgaum; Mumbai - 400 004. (India)"
Cheque amount for Domestic Companies is INR 8000/-
Cheque amount for Overseas Companies is US$ 250/-
Bank Transfer
Pay by TT to Bank of India, New York Branch, 277 Park Avenue, NY 10172,
Swift Code : BKIDUS 33 For Final Credit to Bank of India, Nepean Sea Road,
Branch Account No. 006420100002221 Beneficiary Elite Conferences Pvt. Ltd.'
Credit Card
Card Type : VisaMaster
Expiry date : [mm/yy]
Card No :
Currency : US $INR
Amount :
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Security Code : captcha