India Retail Forum

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Delegate Registration Form for mydala.com Members

DELEGATE REGISTRATION FEE

Regular price Rs. 25,000/-

SPECIAL PACKAGES FOR MYDALA.COM MEMBERS

Rs. 20,000/- includes:

IRF 2011 delegate registration for 1 person without accommodation

Please specify the following:

Arrival Date:
Flight No:
Departure Date:
Flight No:

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

HOW DID YOU HEAR ABOUT IRF ?*

PRIMARY INTERESTS AT IRF ?*

Fashion Food Shoes & Accessories Beauty Entertainment People / HR
Property Stores Technology Networking Knowledge Market Data

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 20, 2011. No registration will be accepted after September 20, 2011(online or through courier). However spot registration will be open at the venue from 8:00 am on September 21, 2011.

*All fields marked with aestrix need to be filled

Express your opinion and have your say regarding the IRF conference agenda and speaking opportunities. Please contact: info@indiaretailforum.in

Exhibition Areas