REGISTRATION FORM - CREDAI Bengaluru

REGISTRATION FORM
STATECON 2015
Real Estate Leadership Convention
Friday, 30th January 2015
Hotel Atria, Palace Road, Bengaluru
ORGANIZATION NAME & ADDRESS:______________________________________________________________
_____________________________________________________________________________________________
Delegate Details:
1) Name : __________________________________________Designation : __________________________________
Email : ____________________________________________Mobile : ______________________________________
2) Name : __________________________________________Designation : __________________________________
Email : ____________________________________________Mobile : ______________________________________
3) Name : __________________________________________Designation : __________________________________
Email : ____________________________________________Mobile : ______________________________________
4) Name : __________________________________________Designation : __________________________________
Email : ____________________________________________Mobile : ______________________________________
5) Name : __________________________________________Designation : __________________________________
Email : ____________________________________________Mobile : ______________________________________
Delegate Registration Charges:
Rs. 1,124/- (Rs. 1,000 +ST.12.36% ) per head for Members
Rs. 2,248/- (Rs. 2,000 +ST.12.36% ) per head for Non Members
Cheque / DD for Delegate Registration should be in favour of CREDAI Bengaluru payable at Bengaluru.
Details for Bank Transfers / NEFT
Beneficiary Name: CREDAI Bengaluru
Bank Name: UCO Bank
Branch: Cantonment
A/C No: 01510210000878
IFSC/NEFT Code: UCBA0000151
This Program is Non – Residential
President & Governing Body of CREDAI Karnataka & CREDAI Bengaluru Invites Participation of our
Developer Members in large number to make this Event a Grand Success. For details refer brochure.
Please ll up this form and send to Us.
CREDAI Bengaluru: # 607-608, 6th Floor, Barton Centre, 84, MG Road, Bengaluru - 560 001
m: +91 99645 92255 t: +91-80-2559 1336 f: +91-80-3052 1481 e: statecon@credaibengaluru.com
Organiser & Host