IMA 2014

Payment Details

Fields marked with * are mandatory

Name*

Designation*

Organisation*

Email ID*

Mobile No*

Address*

Number of Delegates*

Amount*

Mode of Payment*

Please note: Registration fee is as follows:
1-7 delegates: 5,000/- per delegate
8 and above delegates: 15% discount on total

For Table Booking kindly contact:
Agnel D’Souza: +91 9870292834 | agnel@exchange4media.com
Sonia Mehndiratta: +91 9899966264 | sonia@exchange4media.com
Suparnaa Chadda (Event Curator): | suparnaa.chadda@exchange4media.com

Mode of Payment:
Cheque
Credit/Debit Card

Cheque:
Please make the cheque payable to ‘Adsert Web Solutions Pvt Ltd’ and mail it to our corporate office at the following address:

Adsert Web Solutions Pvt Ltd
Kind Attention: Gaurav Luthra
B-20, Sector 57
Noida 201301