India Retail Forum

Delegate Registration Form for REIDIN Members

OPTION: 1

DELEGATE REGISTRATION FEE WITH ACCOMODATION 900 EURO( €)

The fee is inclusive of:

• 3 nights hotel accomodation

• Breakfast

• Airport pickup and drop

OPTION: 2

DELEGATE REGISTRATION FEE WITHOUT ACCOMMODATION 450 Euro(€)

DELEGATE DETAILS

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

Membership No.
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 Euro(€)

Name

Card Number

Expiry

Please send scanned copy of your credit card and photo identity proof to anjali@imagesretail.com

Payment Option 2

SWIFT (TT) to Current Account No: 52805035830 of Images Multimedia P Ltd
with Standard Chartered Bank, NDSE -1, New Delhi 110 049, INDIA.
Ph: +91-11-23733888. The SWIFT Code is SCBLINBBDEL

We hereby confirm our participation at IRF '10 & accept the rules & regulations of IRF '10

Date

AVOID VISA DELAYS - BOOK NOW

Delegates from outside India require a visa. Please contact your nearest Indian Consulate for visa formalities.

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.