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Delegate Registration
Event Timing: 1-3 December, 2017 Event Address: Jawahar Kala Kendra, Jaipur

Delegate Registration Fee: Rs. 5000/-

Delegate Registration includes the following:
• Lunch with Speakers and Performers on 2 -3 December, 2017 at Jawahar Kala Kendra
• Tea/Coffee and Refreshments (1-3 December, 2017)
• Invite to the official inaugural of Woman Up! Summit on 1 December 2017 (4:30 pm)
• Invite to an exclusive dinner with at the Hotel Marriott 2 December, 2017
• Access to all sessions and performances of the summit

Contact Siyahi at +91-9829292244, mita.kapur@gmail.com

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Payment Information
Payments can be made via Cheque, Demand Draft or online bank transfer. You will receive information regarding online bank transfers (if applicable) on submitting this form.

Please send Cheques or Demand Drafts to:
Siyahi, D-241, Amrapali Marg,
Hanuman Nagar (Near Amrapali Circle),
Jaipur 302021

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