Registration Form - Get Now DOC by PvU21amT

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									   SUITE 2011
   (Summit for US-India Trade & Economics 2011)
   May 25-26, 2011, Hotel Pennsylvania, New York, USA

                                                       REGISTRATION FORM

   Name:                 .....….…………………………….…………….………………..…………………………………………....................................…..

   Designation:          …………………………………………………………….…………..………………………………………………………………………….…

   Company:              ………………………………………………………………….………………………………………….…………………………..…………..

                         ………………………………………………………………………………………………….………………………………………………..…

   Phone:                ……………………………………………………….                                           Fax: …………………………..………………………………..

   Cell:                 ….……………………………………………………                                           E-Mail: ………………………………………………………..

   Registration Details:

            Participation Fee                                   Participants                                   Participants
       Participation fee includes cost of two
           tea/coffee and lunch serving                         from US ($)                                  from India (INR)
   Members                                                            375                                            20,000

   Non-Members                                                        450                                            25,000
   Kindly Note: (a) Participation fee includes cost of two tea/coffee and lunch serving (b) 10% Discount for 3 or more registrations from same company
   (c) *Discounts not applicable on Early Bird (d) Payment must accompany the registration form. No refund on cancellation. Changes in nomination
   from the same organization are acceptable (e) Registration fee is non-refundable



                                                            HOW TO REGISTER
                           Registrations in USA                                                           Registrations in India
    Cheque payment:                                                                           Cheque payment:
   Cheque drawn in favor of:                                                                  Cheque to be prepared in favor of:
   ‘Indo-American Chamber of Commerce, USA Inc. ‘                                             ‘Indo-American Chamber of Commerce’
   and can be deposited in any State Bank of India Branch in USA                              and sent to the following address:
   for credit to our Account No: 77607125420001.                                              Indo-American Chamber of Commerce,
   Address: State Bank of India, Deposit Section, 460, II Floor,                              1-C, Vulcan Insurance Building,
   Park Avenue, New York, NY 10022                                                            Nariman Road, Churchgate,
   Wire Transfer:                                                                             Mumbai Pin: 400 020, India
   Wire Transfer by giving the Swift Code: SBIN US33 for credit to
   above mentioned account no. and bank address.

   Dated                                                                                   Signature

                           (Please fill in this form and return. Use photocopies for additional registrations)


                                                     SUITE 2011 Summit Secretariat
US Office:                                                              India Office:
Indo-American Chamber of Commerce - USA, Inc.                           Indo-American Chamber of Commerce,
Ms. Tanya Paula de Sousa, Esq.                                          1-C, Vulcan Insurance Building, Veer Nariman Road,
McLaughlin & Stern, LLP                                                 Churchgate, Mumbai 400 020 India,
260 Madison Avenue, New York, NY 10016                                  Tel: +91 022 - 22821413, 22836340
Tel: (212)-448-1100                                                     US Tel: 1-917-310-7620
Email: tdesousa@mclaughlinstern.com /                                   Email: suite2011@iaccindia.com
usofffice@iaccindia.com

								
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