Conference Participation Form
To submit take printout of Participation Form, fillup the details and send by Fax or E-mail
_____________________________________________________________________________



9th Annual Global Environment Conference 2008

Date : 5 - 7 September 2008
Venue : Cidade De Goa, Goa (India)
Registration
Fee
GREENTECH FOUNDATION MEMBER COMPANY
NON MEMBER COMPANY
Non Residential Fee
Residential Fee
Non Residential Fee
Residential Fee
Indian Delegates
Rs. 15,000
Rs.41,000
Rs. 15,750
Rs. 41,750
Overseas Delegates
U.S$ 500
U.S$ 1370
U.S$ 525
U.S$ 1400
No Charge for Spouse of Residential Delegates
_______________________________________________________________________________________
 

To
The General Secretary
Greentech Foundation
811, Vishwadeep Tower, Distt. Centre,
Janakpuri, New Delhi - 110058 India.
Fax : +91-11-41588564
E-mail : mail@greentech.org

Attach Photograph
of Delegate & Spouse
 Please Register Following Delegates :
(Please Use photocopy for more names) Please Write in CAPITAL Letters
1. Name : ............................................................................ Designation : ............................................
as Delegate                 Speaker                 Residential                  Non-Residential     
Telephone(O) ............................................ Fax :.........................................(R)...................................
  Mobile.......................................................E-mail...............................................................................
  Spouse Name ...................................................................... Relation ................................................
 
Payment Details
Rs./US $
DD No.____________________

Date______________________

Bank______________________

Drawn in favour of "Greentech Foundation" payable in New Delhi (India)
Delegate Regn. Fee  
Res. Non Res.
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Total Amount
 
  Accomodation Required (for Residential Delegates only) :
 
Time (IST)
Date
No. of Nights
Accomodation
No. of Rooms
Single
Double  
Check-in
        
Check-out
      
  Free :GREENTECH T-Shirt to Delegate
  Nomination of Delegates received on prescribed Participation Form with Delegate Fee on or before 31st July 2008 will get one Greentech T-Shirt 'Free' during the conference in Goa.
  Mention size of T-Shirt :
  Medium         Large           XL          XLL
  Particulars of Nominating official :
  Name..........................................................................................Designation.............................................
  Organization................................................................................................................................................
  Address......................................................................................................................................................
  ..................................................................................................................................................................
  Telephone(O).............................................................................(R).............................................................
  Mobile.......................................................................................Fax...........................................................
  E-mail...........................................................................................Website.................................................
   
  Date ........................                                                Company Seal & Signature ..........................................