Delegate Registration

Kindly fill in your details to register :

Name*

Mobile*

E-mail*

Designation*

Address *

City*

State*

Country*

Pincode*

Select Booking Type*

Number of Delegate*

Amount *

GST (18%)*

Amount + GST (18%)*

PAN No.*

Do you want invoice on your company name?*

Yes No

Payment Mode*

Number of Delegates	Fees (INR)
Delegate Pass Booking	5500

1. (*): Taxes as applicable.
2. All payments must be made at one go, either by credit/ debit cards, net-banking or cheque/ Demand Draft. (in favour of ‘Adsert Web Solutions Private Limited and must reach our Delhi/NCR office at B-20, Sector 57, Noida - 201301.’)
3. No refund applicable on cancellation.

Prateek Goyal | +91 9769124432 | prateek.goyal@exchange4media.com