36th World Marketing Congress
on “India & Central Asia : Collaboration & Cooperation”
New Delhi, February 11-13, 2009
Please fill in and return along with Congress fee
Dr. Gaganjit Singh, Director General Institute of Marketing & Management
Marketing Tower, B-11 Qutab Institutional Area
New Delhi - 110 016 (India)
Name
Designation
Organisation
Mailing Address
Phone
(O) (R)
Fax
Mobile
E-Mail
Enclosed is (i) Cheque/Demand Draft for Rs
or US$
in favour of “ Institute of Marketing & Management ”, payable at New Delhi (India) or (ii) remittance through transfer to Current A/c No.405050189 (MICR No.110019018) with Indian Bank, Mehrauli Institutional Area Branch, New Delhi-110016, under intimation to us.
Date:
IMM Membership Category & Number :
Otherwise ask for Membership Form of IMM.
Place:
Signature:
( Please get this form Xeroxed for nominating more than one person .)
