INDIA CARPET EXPO
18th to 21st October, 2013
Sampurnanand Sanskrit University Ground, Varanasi
BUYERS REGISTRATION FORM
I / We wish to visit India Carpet Expo, 18-21 October, 2013 at Varanasi. I / We furnish our details for registration as under :-
1. DETAILS OF THE COMPANY : ( Please write in capital letters )
a. Company's Name ____________________________________________________ VAT No. ____________________________
b. Name & Designation of Representative (s) _____________________________________________________________________
c. Address ________________________________________________________________________________________________
City _______________________State __________________ Country___________________ Pin / Zip Code ________________
d. Phone: Country Code ________________ City Code________________ Number (s) __________________________________
e. Mobile: Country Code ________________ Number (s) ___________________________________________________________
f. Fax: Country Code __________________ City Code_______________ Number ______________________________________
g. *E-mail____________________________________________ Web-site ____________________________________________
2. Have you availed CEPC’s Complimentary package earlier. If so, please mention the year(s) :
i. Year: ____________, ii.: Year ____________ iii. Year: _____________ iv. Year: __________ v. Year:______________
3. OTHER INFORMATION : ( Please tick )
a. You are importing handmade carpets as: Retailer__Wholesaler ___Deptl. Store ___Chain Store __Speciality Store ____
b. Your items of import: Hand knotted Woollen Carpets _____ Silk / Art Silk Carpets ______ Handtufted Carpets ______
Handloom Carpets_____ Durries _____ Rugs _____ Others _____
c. Your sourcing country for import: India ___ China ____ Pakistan ____ Nepal___ Iran ____ Turkey ____ Others ____
d. *Your Annual Import of Handmade Carpets & other Floor Coverings for last 3 years ( in US $ )
Total Import: 2010 ____________________2011 _______________________2012_______________________
Import From India: 2010____________________2011________________________2012_______________________
e. *Details of outstanding payments in India – (i) for more than 6 months US $ __________________________
(ii) for more than one year US $___________________________
4. TRAVEL INFORMATION : ( Please tick)
a. Need Hotel Accommodation in Varanasi : Yes / No.
b. If yes, specify dates : Check-in _______________ Check-out _____________
I do hereby confirm that the above information furnished by me is correct to the best of my knowledge.
(*)Mandatory
Place ___________________ Signature__________________________________
Date ____________________ Name_____________________________________
Company's Seal ____________________________