Delegate Registration Form 2018
Event Timing: 27-28 October, 2018 Event Address: Jawahar Kala Kendra, Jaipur

Delegate Registration Fee: Rs. 3000/- per day. Inclusions:
•Invite to an exclusive dinner at the Hotel Marriott on 26 October 2018
•Lunch/ Tea/Coffee with Speakers and Performers at Jawahar Kala Kendra (per day)
•Access to all sessions and performances of the summit (per day)

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

Email address *
Name *
Your answer
Organisation *
Your answer
Contact Number *
Your answer
I agree to pay Rs 3000 per day to register as a delegate *
Registration for date *
Method of Payment *
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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