Elite ConferencesHome Page Elite Conferences Home Page Online
Registration
INDIAN Petrochem-2011
     Highlights
     Background Notes
     Program Outline
     Conference Associates
     Who Should Attend
     View Brochure
     Registration
     Accomodation
 
 Our Past Events


 
 About Us
     Elite Conferences
     CPMA
 
 Contact Us
     Queries
     Advertisements
13th International Conference

INDIAN Petrochem - 2011
Online Registration Form
 

Net registration charges (inclusive of service tax):
INR 25369 for Domestic Residents
USD 1103 for Overseas Residents

 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 *		  
  
 Position :   
 
 Company :  
 
 Business :  
 
 Tel :  *  Fax :  *  E-mail :  *
 
 Payment by :   Cheque   Credit Card   Bank Transfer *
 Currency :      US $      Indian Rupees *
 Amount :    *
 
 Part B :
 
Cheque Payment

 Enclose the cheque (payable at Mumbai) with the form & courier it to :
   "Elite Conferences Pvt. Ltd.
    606, Bhagya Laxmi; Kennedy Bridge, Girgaum; Mumbai - 400 004. (India)"

 Cheque amount for Domestic Residents is INR 25369/-
 Cheque amount for Overseas Residents is US$ 1103/-
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 :   Visa  Master      Expiry date :    /    [mm/yy]
 
 Card No.       
 
 Currency :     US $    INR                  Amount :    
 
 Name on card : Date :
 
www.eliteconferences.com
© Copyrights reserved by Elite Conferences Pvt. Ltd.