APPLICATION FORM FOR DEALER’S BOOTH
Name :
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Designation :
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Business Name :
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Contact Address :
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Telephone :
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Email id :
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Numbers of booths required :
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Amount Rs10000/- remitted vide (Fill the appropriate)
Enclosed Demand draft dated ............... drawn on ...................... (name of bank) in favour of 'The Kerapex-2016 Secretariat' OR
NEFT transfer dated ................. to a/c No.522802010007188, IFSC Code: UBIN0552283 from ............... (name of bank) |
I have read and understood the
special rules of the exhibition and shall abide by them.
Signature:
Date:
Place: