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14th National Conference On
Indian Medical Devices & Plastics Disposables /
Implants Industry 2017
March 17-18,
2017
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 |
850/- |
25 |
|
□ |
Day 2
|
850/- |
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
Delegates Registration -
Online Payment
14th National Conference On
Indian Medical Devices & Plastics
Disposables / Implants Industry 2017
March 17-18, 2017
Download
Delegate Registration Form
Online Payment:
Please follow the links below to
proceed to online order form.
|
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. |
Download
Delegate Registration Form
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
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