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Company Name : ________________________________________________________________________________________ Address : _______________________________________________________________________________________________ Phone : _____________________ Fax : _____________________ E. Mail: ___________________________________________ Proposed Exhibits : ______________________________________________________________________________________ M.D. / C.E.O. Name:_________________________________ Tel ___________ E.mail:_____________________________ Contact Executive: Name ______________________________ Tel. ___________ E.mail:_____________________________ Participating as : Exhibitor Sponsor (please tick the appropriate space) Price Rs. _________________
Stall No.: (Please give three choices) Ist choice__________________2nd Choice ________________ 3rd Choice_____________ Name to be displayed on the stall: ___________________________________________________________________________ Product Specialities: ______________________________________________________________________________________ ______________________________________________________________________________________________________ Lectures / Seminars: _____________________________________________________________________________________ Kindly note that the Lecture / Seminar timings will be allotted on mutual discussions subject to availabilities Participation Fee: Shell Scheme Rs. 5,500 per Sq. mts. BOOKING AMOUNT (Rs) payment details: (in words) Cheque/ Draft No: Bank /branch: Sponsorship Fee: Rs. 3,50,000/(in figures) Dated: Balance:
ALL payments to be made by Cheque/Demand Draft only in favour of Axion Events and Promotions. Payable at Mumbai. Declaration by Exhibitor We agree that this application, when approved by the organiser, shall constitute, together with the 'Terms and Conditions' a valid and legally binding contract. We have read and hereby agree fully to the 'Terms and Conditions' for participation. We agree to pay a total sum of Rs.___________ towards stall bookings/sponsorship at this exhibition Name:____________________________________________ Designation___________________________________________ Place & Date: _____________________________________ Signature with stamp:
Payment Schedule: 50% along with the Booking Form. Balance 50% before 30 days of the exhibition All payments should be made by Cheque/Demand Draft.
Please contact us at: Axion Events and Promotions 403, Nalanda, Sector-15 Vashi New Bombay 400703 E-Mail ID: info@axion.co.in; Tel: 27898980, Mob: 9820699429