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IPRAS 2009
REGISTRATION FORM

GALA PARTY
2nd December 2009

Registration No. *

Name *

E-mail *

Contact Phone *

Country code	Area Code	Number

Number of persons *

Payment Status *

Pay Now

Already Paid with Registration Fee.

All registrations for IPRAS 2009 must be submitted online or by fax/mail, using the official registration form. All Payments to be made in Indian Rupees only.

GALA PARTY TICKET PER PERSON.

Up To 15/02/2009	Up To 31/07/2009	After 01/08/2009
2000/-	2500/-	3000/-


Amount Per Person @ *
Total Amount Paid*

Select Any *

1. Cheque at par/ DD payable at New Delhi in favor of “IPRAS 2009” and send it to:
IPRAS 2009
B-18, Swasthya Vihar,
Vikas Marg,
New Delhi-110092,
India

Demand Draft / Cheque No.		Dated:
Bank Name:

2. Credit card : Payment only possible by Master Card / Visa Card.
Note : When credit card payment is submitted and you get an error message please do not go back and resubmit. Kindly check with us first if we have received your payment.

3. Pay by Swift Transfer
Beneficiary Name   - IPRAS 2009
Beneficiary A/c no - 3132320003038
Beneficiary branch    - HDFC Bank Ltd, H-69, Outer circle, Connaught Place, New Delhi 110001, India.
HDFC's Swift code    - HDFCINBB DEL

I agree to the terms and conditions*

Conference Secretariat

IPRAS 2009
B-18, Swasthya Vihar,
Vikas Marg,
New Delhi-110092,
India Tel.: +91-11-23231871
Fax: +91-11-23222756
Email: desk@ipras2009.org

29th november - 3rd december 2009
hotel ashok, new delhi