21-23
February 2005
BOOKING
FORM
I would like to book
…….place(s) on the above conference.
|
Name(s): |
|
|
|
|
||
|
Organisation: |
|
|
|
Contact Address: |
|
|
|
|
||
|
|
||
|
|
||
|
Name to appear of
conference badge: |
||
|
Tel no |
|
|
|
E-mail: |
|
|
I wish to pay by (please
tick box)
By wire transfer from your bank directly to the
account below. o
All bank transfer charges are to be paid by
registrants.
Payment of £300 Sterling:
Please remit
proceeds to the credit of I.B.D.,HEAD
OFFICE A/C NO.00263990 of ORIENTAL BANK OF COMMERCE WITH HSBC (formerly
MIDLAND BANK) LONDON (SWIFT:MIDLGB22) for further credit to A/C NO. 188859 OF
CONFERENCE CHAIRMAN WITH THIER TOWN HALL ROAD UDAIPUR (INDIA) BRANCH (SWIFT:ORBCINBBUDP)
Or payment of US$575:
Please remit
proceeds to the credit of I.B.D., HEAD OFFICE A/C NO. 36152559 OF ORIENTAL
BANK OF COMMERCE WITH CITIBANK N. A., NEW YORK (SWIFT: CITIUS 33) for further
credit to A/C NO. 188859 OF CONFERENCE CHAIRMAN WITH THIER TOWN HALL ROAD,
UDAIPUR (INDIA) BRANCH(SWIFT:ORBCINBBUDP)
On-site registration will be available during
conference although attendees are encouraged to register in advance.
o
an
invoice or receipt of payment is required o
Please send and official
order form to the address given below.
Please
forward this form with payment details to:
Dr Renu Jatana, 928 F. Gvan Nagar, RHB Flats, Sector-4, Hiran magri, Udaipur – 313002 (Rajasthan), India