:: Intelpack ::

Participation Form

We are pleased to confirm our participation and book a stand of sq. mtrs. under

(mark)

Shell Scheme
Bare Space at Intelpack-2012 co-located with Foodtek-2012 and Pharmapack-2012 being organised at the Bombay Exhibition Center, Mumbai, India from the 23-25 February 2012.

We acknowledge explicitly that we have read and accepted the Rules and Regulations governing participation in full mentioned overleaf of this Application for Participation form and by submitting this application, we undertake to comply with the same.

Company

Address line 1

Address line 2

City & Pin Code

Country

Telephone No

- -

(Eg.+91-022-12345678)

Mobile

Fax

- -

E-mail

Retype E-mail

Website

Managing Director/CEO	:
Contact Person/s for Event	:
Products to be Displayed	:
Products Manufactured/	:
Services Offered

Stand preferred (Please refer floor plan)

1st Choice

2nd Choice

3rd Choice

Total Stand Cost : Rs. US$ + 10.3% Govt./ Service Tax

Form submitted by :

Designation :

Bank Remittance Details

Foreign Remittance:
Swift Code : CHASUS33
To the credit of A/c No. 00472560000253
Beneficiary : Intel Trade Fairs & Expositions Pvt. Ltd.
Bankers : HDFC Bank, Marve Road, Malad West
Mumbai 400 064. INDIA

Remittance in India:
RTGS/NEFT IFSC : HDFC000047
A/c No. 00472560000253
A/c Name: Intel Trade Fairs & Expositions Pvt. Ltd.