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PMMAO 2013 REVIEW
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Your Name
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Your Email
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Designation
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Company
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Phone No.
Mobile No.
*
Address
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Number of Delegate
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Amount
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Mode of Payment
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Select
Credit Card (master / Visa)
Cheque / Demand Draft
Fee is as follows:
One Delegate Rs. 5,000
5-10 Delegate 10% Discount
11-20 Delegate 15% Discount
21-50 Delegate 20% Discount
More than 50 Delegate 25% Discount
Cheque/DD to be sent in favour of “Adsert Web Solutions Pvt Ltd”
And send to
Agnel DSouza
301, KAKAD BHAVAN, 3RD FLOOR, 11TH STREET, OPP. GALAXY CINEMA, BANDRA WEST, MUMBAI 400050 PH: (022) 66206000
Quote Your Name and Phone number on the back of the Cheque/DD
For any queries related to Registration, contact:
Agnel DSouza:
agnel@exchange4media.com
, +91 9870292834