| CONFERENCE DELEGATE REGISTRATION FORM | |||||||||
 |
|||||||||
DATE : 26th August 2012 Bangalore, India. |
|||||||||
|
|||||||||
 |
|||||||||
| I am / We are interested to attend the South Asian Dairy Congress. Please Register our Name (s) for .............................. (No. of Persons) | |||||||||
| Name:- _____________________________________________________________Desig. :-________________________________________ | |||||||||
| Company / Organisation Name :-________________________________________________________________________________________ ____________________________________________________________________________________________________________________ |
|||||||||
| Address :-___________________________________________________________________________________________________________ __________________________________________________________________________________City:-_____________________________ |
|||||||||
| Pin/Zip :- ___________ State:- ___________________ Country:- ___________________ Tel:-______________________________________ | |||||||||
| Fax:- __________________ Email:- _____________________________________________ Date:- __________________________________ | |||||||||
| We are enclosing a Cheque/DD/Rs:- ______________ No:- _______________ Dated:-___________________ Drawn :_________________ | |||||||||
| in favour of MEDIA TODAY PVT LTD, Payable at Delhi, India or Sending Money through Bank Transfer. Please send the payment to the Delhi address. |
|||||||||
Signature & Seal |
|||||||||
| Office Use Only :- | |||||||||
| No. of Delegate(s) :- _____________________ Remarks :- __________________________________________________________________ | |||||||||
 |
|||||||||
(Exhibition Division) T-30, Ist Floor, Khirki Extn., Malviya Nagar, New Delhi - 110 017 (INDIA), Tel :- +91-11-64521572, 26682045, TeleFax : 26681671 Email : dti@dairytechindia.in , Website :- www.Dairytechindia.in |
|||||||||
| All Rights Reserved @ Media Today Pvt. Ltd. | |||||||||