| Salutation:* |
Mr.
Ms.
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| Name of the
applicant/Head of organization & Designation:* |
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| Name of the
Co-ordinating person/Designation:* |
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| Company
Name:* |
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| Address:* |
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| City:* |
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| Country: |
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| State: |
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| Other State: |
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| Zip
Code:
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| Tel No:* |
-
-
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| Fax: |
-
-
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| Direct No/
Mobile: |
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| Email:* |
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| Email
2: |
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| Website: |
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| NO PAYMENT CAN BE MADE ONLINE WITHOUT CONFIRMING THE DETAILS OF PURPOSE OF MAKING THE PAYMENT AND OBTAINING THE INVOICE FROM IAAPI OFFICE. Kindly check the amount to be put in the box below by verifying the amount mentioned in the invoice already sent to you. |
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| PURPOSE: |
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| NEW MEMBERSHIP |
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| RENEWAL OF MEMBERSHIP |
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| SPACE BOOKING AT IAAPI EXPO |
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| ADVERTISEMENT IN THRILLER |
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| ADVERTISEMENT in EXHIBITION DIRECTORY |
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| ANNUAL MEET & TRAINING PROGRAMME(2009) |
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| Payment Details |
For user’s within India, payment can also be done through Debit cards of the following banks:
(ICICI Bank Ltd , State Bank of India, HDFC bank, Axis Bank, Deutsche Bank, Karur Vysya Bank, Corp Bank, Indian Overseas Bank) |
| Select Currency Type : |
USD($)
INR(Rs.) |
| Invoice Number: |
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| Invoice Date: |
(MM / DD / YYYY) |
| Amount: |
INR(Rs.) |
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I accept the terms and conditions of the offer. |
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| Note:Payment receipts will be sent to you. |
