Paper Mart Regional Symposium – UP & Uttaranchal

“Sustainable Growth for the Sustainable World” PAPER MART th 24 January 2011, Hotel Holiday Regency, Moradabad

Delegate Registration Form Organization Name Delegate Name Designation

Address

City/State/Pin Code Phone Fax Email Mobile

Registration Fees

Till 20th January 2011: Rs. 4000/‐ 21st January onwards & On Spot registrations: Rs. 5000/‐

Please send a payable at New , Demand Draft drawn in favor of "Tulip 3P Media Pvt. Ltd." to 218, , , ‐110007, INDIA along with duly filled form.

Bank Details for Payment Transfer

HDFC BANK (Swift Code: HDFCINBB) Credit: TULIP 3P MEDIA PVT. LTD. A/C No.: 02872560002186 Branch: Ph.‐II, New Delhi‐110052 (INDIA)

Terms & Conditions

• Registration is accepted on “first come ‐ first served" basis based on receipt of payment in full. • Cancellations received with less than five calendar days notice and "no‐shows" will not be given a refund. • Company reserves the right to cancel any seminar due to any unforeseen reasons. In this case, company’s liability shall be limited to full refund of delegate fees paid. If the delegate chooses to reschedule seminar instead of receiving refund, the delegate will receive a refundable voucher valid for one year from date of issuance to reschedule. • The delegate fees paid is all exclusive of the accommodation. • The program & the content of the symposium are subjected to change and company shall not be liable for any changes. • By registering for Paper Mart Regional Symposium, I hereby affirm that I understand, acknowledge and agree to the terms & Conditions.

**Please note ‐ the fees you pay will depend on the location of the event. Local taxes may be charged in addition, where applicable.

Date: Sign & Stamp

Tulip 3P Media Pvt. Ltd. 218. Sanjay Nagar Gulabi Bagh, New Delhi 110007, INDIA Ph: +91‐11‐23652841, 23654527, Tele‐Fax: +91‐11‐23652699