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REGISTRATION FORM [PDF]

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[email protected] | Fax: +91-080-41123988. 1 | P a g e ... Send the Registration Form & Payment to the following Address (before Oct 10th). Hema,.

The Urban Vision | Suite no 404 Blue Cross Chambers | # 11 ,Infantry Cross Road | Bangalore – 5600001 | Karnataka | India | [email protected] | Fax: +91-080-41123988

REGISTRATION FORM Event: Building Livable Cities 2010,Mumbai. Date & Time: October 20th 4:00 – 7:30 pm Venue: Hall of Harmony , Nehru Centre For details on the latest agenda .Please visit www.theurbanvision.com/blc

General Information Organization: (If applicable) Address:

Phone & Fax:

Email:

Name of the Delegate

Designation

Email

Total

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Registration Form: Building Livable Cities @ Mumbai Oct 20th

The Urban Vision | Suite no 404 Blue Cross Chambers | # 11 ,Infantry Cross Road | Bangalore – 5600001 | Karnataka | India | [email protected] | Fax: +91-080-41123988

Payment Information DD / Cheque Number: Dated

Bank

Amount

Signature

Please Note that the Registration fee Per Delegate is Rs. 1200.

Please enclose Cheque / Demand Draft in Favor of: “The Urban Vision” Send the Registration Form & Payment to the following Address (before Oct 10th) Hema, The Urban Vision , Suite no 404, Blue Cross Chambers, # 11, Infantry Cross Road, Bangalore-560001 Karnataka, India. Ph: +91- 9686695985 Email: [email protected]

Please email the copy of the completed form at [email protected] or fax a copy of this Form to 080-41123988 for internal reference and so we can reserve a seat for you immediately.We have limited seats .

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Registration Form: Building Livable Cities @ Mumbai Oct 20th