*
fields are mandatory |
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| For your security,
each online transaction allows only a maximum of 3 boxes at a time.
For more boxes, enter multiple transactions OR send payment offline
as below. Each Exhibitor is entitled to a maximum of 6 Boxes per
row / column. |
| |
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| First
Name : |
*
|
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| Second
Name : |
|
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| Organization
: |
|
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| Postal
Address: |
* |
 |
| City : |
* |
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| Pin / Zip Code : |
* |
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| Country : |
*
|
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| Designation
: |
|
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| Phone
: |
* |
| |
| Fax
: |
|
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| Email
: |
* |
| |
| Display
Dimension : |
box / es Total
amount per year will be
|
| |
| |
Note
: € 99 per box , per year.
Premium Section: E. 99 per box for 90 days, maximum 4 Boxes per
Exhibitor. |
 |
| Display
Position : |
*(eg
1a or 2a, 2b or 3a, 3b, 4a, 4b) |
 |
| Website
URL : |
|
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|
Description
of your business :
(within 60 words) |
*
|
| |
Category
:(max 3 words enter words with space in
between) |
* |
| |
| PAYMENT DETAILS
|
| Payment
to be made by local cheque or Demand Draft payable in Bangalore,
favouring "O.M.S. Pvt. Ltd." |
| |
|
Payment
: |
Online
Offline |
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| Currency:
|
|
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| Cheque
/ DD No : |
|
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| Date
: |
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| Amount
: |
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