(Summit for US-India Trade & Economics 2011)
May 25-26, 2011, Hotel Pennsylvania, New York, USA /
REGISTRATION FORM
Name: .....….…………………………….…………….………………..…………………………………………...... …..
Designation: …………………………………………………………….…………..………………………………………………………………………….…
Company: ………………………………………………………………….………………………………………….…………………………..…………..
………………………………………………………………………………………………….………………………………………………..…
Phone: ………………………………………………………. Fax: …………………………..………………………………..
Cell: ….…………………………………………………… E-Mail: ………………………………………………………..
Registration Details:
Participation FeeParticipation fee includes cost of two tea/coffee and lunch serving / Participants
from US ($) / Participants
from India (INR)
Members / 375 / 20,000
Non-Members / 450 / 25,000
Kindly Note: (a) Participation fee includes cost of two tea/coffee and lunch serving (b) 10% Discount for 3 or more registrations from same company
(c) *Discounts not applicable on Early Bird (d) Payment must accompany the registration form. No refund on cancellation. Changes in nomination from the same organization are acceptable (e) Registration fee is non-refundable
HOW TO REGISTER
Registrations in USA / Registrations in IndiaCheque payment:
Cheque drawn in favor of:
‘Indo-American Chamber of Commerce, USA Inc. ‘
and can be deposited in any State Bank of India Branch in USA for credit to our Account No: 77607125420001.
Address: State Bank of India, Deposit Section, 460, II Floor, Park Avenue, New York, NY 10022 / Cheque payment:
Cheque to be prepared in favor of:
‘Indo-American Chamber of Commerce’
and sent to the following address:
Indo-American Chamber of Commerce,
1-C, Vulcan Insurance Building,
Nariman Road, Churchgate,
Mumbai Pin: 400 020, India
Wire Transfer:
Wire Transfer by giving the Swift Code: SBIN US33 for credit to above mentioned account no. and bank address.
Dated Signature
(Please fill in this form and return. Use photocopies for additional registrations)
SUITE 2011 Summit Secretariat
US Office:Indo-American Chamber of Commerce - USA, Inc.
Ms. Tanya Paula de Sousa, Esq.
McLaughlin & Stern, LLP
260 Madison Avenue, New York, NY 10016
Tel: (212)-448-1100
Email: / / India Office:
Indo-American Chamber of Commerce,
1-C, Vulcan Insurance Building, Veer Nariman Road, Churchgate, Mumbai 400 020 India,
Tel: +91 022 - 22821413, 22836340
US Tel: 1-917-310-7620
Email: