REGISTRATION FORM

35th World Marketing Congress on
“India & The Arab World : Partners in Progress”
at
India Islamic Cultural Centre, Lodhi Road, New Delhi, January 21-23, 2008
 
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 :
 
              Place:  Otherwise ask for Membership Form of IMM.   Signature:
      
( Please get this form Xeroxed for nominating more than one person .)