| Organization Name |
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| Company's Product |
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| Contact Person Name |
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| Address line1 |
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| Address line2 |
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| City |
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| State |
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| Country |
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| Pin Code |
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| Phone |
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| Fax |
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| Email |
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| Sponsorship/Advt Type |
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(Note: Limited number of Hotel accommodation at Rs 600 a night is available at Sri Ramachandra Medical Hospital Campus for delegates. Please send us a seperate request by letter.)
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| Sponsorship/Advt Type | Charges |
| Chief Event Sponsor | Rs. 5 Lakhs or US $15,000
(Gold Sponsor) |
| Conference Co-Sponsors(Three No) | Rs. 2 Lakhs or US $5,000
(Silver Sponsor) |
| Session Sponsors | Rs. 1 Lakhs or US $2,500 |
| Exhibition Booth/stall for conference duration(large) | Rs. 30,000 or US $1,000 |
| Exhibition Booth/stall for conference duration(small) | Rs. 20,000 or US $700 |
| Sponsoring Conference/kits | As Per actual expenses |
| Dinner & Entertainment Night | As Per actual expenses |
| Sponsoring Lunch | As Per actual expenses |
| Sponsoring National / International Speaker | As Per actual expenses |
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Demand Draft-Details
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Drawn In Favour Of |
Medical Computer Society of India
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Payable At |
Chennai
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|
DD Number |
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|
Amount |
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|
Name Of The Bank |
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|
Name of The Branch |
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Date Drawn |
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(MM/DD/YYYY) |
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