* Please print out this form, and send us the completed form alongwith the Registration Fees. For any query, please feel free to contact us at info@IndiaCore.com or Tel: +91 +11- 2554 2551/ 098185 22517*

DISTRIBUTION INDIA 2
Loss Reduction & Performance Quality Improvement
April 19- 20, 2007; India Habitat Centre, New Delhi. INDIA

Response/ Delegate Registration Form

box I shall attend the above noted Conference

box I wish to present a paper on the Title ______________________________

box Send me a detailed Communiqué on (Please tick the required option)

Various Sponsorship Opportunities ______
Advertising Opportunities on Conference website- www.IndiaCore.com ____ Tabletop Exhibition __________

box Send me details of the Pre/ Post Conference Tours

boxHotel Accommodation required:

Date & Time (I.S.T.): From _____________ To ________________
Accommodation Type: Single___________ Double____________

Delegate Registration Fee

Participant Participants from India
(Fees per participant)
Participants from other Countries
(Fees per participant)
Regular Delegate Rs 12,000 US$ 325
Delegates from SEBs, SERCs Rs 8,000 NA
India Core Paid Subscribers Rs 7,000 US$ 225
Delegates from Academic Institutions & Students Rs 7,000 US$ 225
Paper Authors & Paper Presenters Rs 7,000 US$ 225

Contact Information

Name ______________________________________________________________
Job Title ______________________________________________________________
Organisation ______________________________________________________________
Type of Organisation ______________________________________________________________
(e.g. Law firm, Construction firm, Finance firm, Consultancy Firm)
Address ______________________________________________________________
State & Country ______________________________________________________________
Pin Code ______________________________________________________________
Tel ______________________________________________________________
(please specify country & area code)
Mobile ______________________________________________________________
Fax ______________________________________________________________
(please specify country & area code)
Email ______________________________________________________________
URL (Website) ______________________________________________________________

Payment Information

Our mode of payment is: (Please tick the correct response)
boxCheque boxDemand Draft boxCredit Card boxCash/ cheque deposit in our ICICI account from any ICICI branch (for Indian participants only) boxWire/ SWIFT Transfer (for International participants only)

A: We are enclosing Cheque/ Demand Draft Number ___________________ dated _____________ drawn in favor of 'India Core Events' payable at New Delhi, INDIA for Rs/ US $ _________________ drawn on________________________________________________ towards payment of Conference fees.

B: Please charge Rs/ US$_________ against my Card Number _________________________
(please add 5% of the applicable registration amount on account of transaction charges)

boxAmex boxMaster Card boxVisa boxOthers (please specify) ___________________

Signature of Card Holder __________________________________________________
Card Holder’s Name _____________________________ Card Expiry Date __________

Date & Place: ___________________________ Signature: _____________________________

Note:

• Program schedule/ content is subject to change.

• Payment in full is required prior to attendance. Funds are not available to sponsor participation, travel or lodging expenses.

• India Core Paid Subscribers & some other categories are eligible for discounted Delegate Registration Rates. Please check the applicable rates.

• Registrations are limited in number. Registration available on First -Come- First- Serve Basis.

• The payment of registration fee should be sent by Cheque/ Bank Draft in favour of 'India Core' payable at New Delhi alongwith the completed Registration Form.

• International delegates can send the fees through SWIFT transfer (electronic transfer) in our Bank account or through draft. In case of a SWIFT transfer, please contact us for our Bank Account details.

Online Registration
Online registration helps us in knowing your desire to participate in advance. Registrations are confirmed only after the receipt and credit of the applicable registration fees.

What Your Registration Includes:

- Attendance at conference sessions
- Registration Kit, One Copy of Proceedings
- Luncheons
- Tea/ Coffee and refreshment breaks

• The registration fee does not include boarding, lodging and transport charges. We could assist you in making your travel arrangements. Please contact us.

• Specially negotiated Room rates are available at the Venue and other hotels for Conference participants. For further details & room bookings, please contact us at info@IndiaCore.com or contact the travel partner of the Conference at travel@vsnl.net.

Cancellation and Substitution Policy
a) If you should cancel on or before March 15, 2007, you will receive a full refund less administrative charges of 20%. We regret that no cancellations can be accepted after March 15, 2007. Refund for cancellations of registration will be made after the Conference.

On or before March 15, 2007 Full refund less administrative charges of 20%
After March 15, 2007 No Refund

b) All refunds will be less taxes levied (if any). If registration fee has been paid online through credit card/ debit card/ net banking then the transaction charges will not be refunded.

c) Substitutions are welcome. In case a registered participant is unable to attend, he/ she may send his/ her representative/ substitute to attend the conference. However, he/ she must inform us latest by March 31, 2007.

d) No-shows are responsible for entire fee. No refund will be made.

  • Please send the filled form alongwith the fees through Courier to:


    IndiaCore Response Team
    Gurgaon Office- 106, 2nd floor, F Block, PVK
    Ansals Palam Vihar, Gurgaon 122 017, Haryana. INDIA.
    Tel: 91- 124- 320 1521/ 407 0942/ 098185 22517; Fax: 91- 124- 407 3946

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