IDRR

Exhibitor Registration

EXHIBITOR REGISTRATION FORM DENTISTRY 2009

EXHIBITION VENUE: NIMHANS CONVENTION CENTRE BANGALORE

E-mail : info@idrr.org Website: www.idrr.org

Application For Exhibitor Deadline: July 31 ,2009

Exhibitor Company Name in CAPITAL LETTERS (give particulars of legal status such as “Limited, Corporation” etc - as it should appear in FASCIA ):

Address *

City *

State *

Intl State/County/Province

(Non India)

Postal code *

Mobile No *

Fax

E-Mail *

Internet

Contact person for the exhibition is:

Name *

Phone *

Fax

Email *

Word Verification

Enter the code shown above:

(Note: If you cannot read the numbers in the above image, reload the page to generate a new one.)

According to the conditions of participation we order the following space at a price of

Rs. 29500 for Booth No 1-44 (Air Conditioned) and

Pay Booth charges Rs.29,500 before 31st July 2009.

Mention the stall numbers ( One or More ) in the order of priority* (refer the floor plan and exhibitors list )

Pay
A demand Draft favoring DENTISTRY 2009 payable at Bangalore is attached herewith.
( Please note :If any government taxes applicable has to be added when and where required )

First Choice *

Second Choice

Third Choice

*Please note that stall/stalls will be provided according to the availability in the order of the priority you have mentioned.

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