India Retail Forum

Delegate Registration Form - National

DELEGATE REGISTRATION FEE

Rs. 25,000/-

DELEGATE DETAILS

Please submit one form for each delegate, even if paying for a group.

Name (Mr/Ms)
Name of Company
Business Category
Position/Title in Company
Address
Phone
Mobile
Fax
Email

HOW TO PAY

Payment Option 1

Charge my

Amount Rs

Name

Card Number

Expiry

Payment Option 2

DD No/ Cheque No.		Dated
for Rs		drawn on (specify bank) favouring
Images Multimedia Pvt Ltd, payable at New Delhi, India.

We hereby confirm our participation at IRF & accept the rules & regulations of IRF

Date

TEAM DISCOUNT

We recognize the value of learning in terms. Enjoy a discount of 10% on Delegate registration fee for 2 or more registrations from one organisation and billing source.

CONFIRMATION

Registration can only be processed when accompanied by payment. Confirmation of registration will be sent within one week of receipt of payment.

CANCELLATION POLICY

Substitute delegates will be allowed. No refunds will be made on account of no-show under any circumstances.

IMPORTANT

Pre event registration closes on September 27, 2010. No registration will be accepted after September 27, 2010(online or through courier). However spot registration will be open at the venue from 8:00 am on September 28, 2010.