Maharashtra Chamber of Commerce, Industry & Agriculture

	In Association With

organizing

Conference on “Global Maharashtra”

Saturday, 10^th January 2009

Taj Lands End, Bandra

REGISTRATION FORM

I/We would like to participate in the “Global Maharashtra Conference 2009.”

Details of Delegates

Sr.	Name	Designation
1
2

Kindly fill up details of your Organization

Organization	Telephone	Choice of Breakout Session
Designation	Fax
Organization	Cell
Address	Email
City & Pin code	Website

Breakout Sessions

Chemical & Pharmaceutical Construction

Food Processing Consumer Products

Tourism including Medical Information Communication Technology

Automobile Components Investment Vehicle

One-to-one Meeting : January 11, 2009 at MACCIA – will attend / will not attend

Meeting with
For	a) Marketing Agency b) Sourcing Raw Material / Components
	c) Investing In Running / Profitable Unit d) Venture Capital Investment
From Dr. / Mr. / Mrs. / Ms.
Organization
Phone No., Cell No., Email ID

Registration fee is Rs. 5000/- per delegate.

Please drawn the cheque in favour of “Maharashtra Chamber of Commerce, Industry & Agriculture” payable at Mumbai.

Bank Details for NRIs are as follows:

REMIT US Dollars TO WACHOVIA BANK N.A.

11PENN PLAZA, 4^TH FLOOR, NEW YORK, N.Y.10001, U.S.A.

CHIPS ABA NO : 0509

FED ABA NO : 026005092

SWIFT : PNBPUS3NNYC

FOR CREDIT TO A/C NO. 2000193008124

OF THE SARASWAT CO-OPERATIVE BANK LTD,

(SWIFT : SRCBINBB )

FOR FINAL CREDIT TO A/C. NO. SB 9885 OF M/S. MAHARASHTRA CHAMBER OF COMMERCE, INDUSTRY & AGRICULTURE WITH FORT BRANCH, MUMBAI, INDIA.

Participation Fee - US $ 125 / TAJ Lands End US $ 75 / Rang Sharda US $ 40

· Organisation nominating 2 persons can avail of 5% discount on delegate fees.

· Delegate Fee is non-refundable; however change in nomination is acceptable.

· Prior registration is essential.

Contact: Tel: 2285 5859 / 5860 , Fax: 2285 5861 Email : sec.general@maccia.org.in
Visit us at www.maccia.org.in