REGISTRATION FORM

SME DIRECTORS SUMMIT

14th June 2019 | Hotel Orchid, Vile Parle, Mumbai

Name of the Participant _________________________________________________________ Designation _____________________

Company Name _________________________________________________________________________________________________

Address _______________________________________________________________________________________________________

City ___________ Postal / Zip Code ________________ State _________________________ URL ____________________________

Telephone __________________ Fax _________________ Mobile _____________________ E-mail ___________________________

Type of the Company: Manufacturing / Exporters / Importers / Service Sector / Consultant / Others ________________________

Main Business Activities __________________________________________________________________________________________

Specific Business Interest ________________________________________________________________________________________

Looking for finance or investment_________________________________________________________________________________

Looking for International business Alliance _________________________________________________________________________

Any Specific issues and problems __________________________________________________________________________________

Any Specific interest_____________________________________________________________________________________________

Are you member of SME Chamber of India YES / NO _______________________________Membership No - ___________________

GST No of my company __________________________________________________________________________________________

PARTICIPATION FEE (PER DELEGATE)

 For Members – Rs. 1,800/- + 18% GST (Payable Rs. 2,124/-)
 For Non- Members – Rs. 3,000/- + 18% GST (Payable Rs. 3,540/-)
Payment Options (Please Tick  Below)

 Cheque (only for members)  Demand Draft (DD)  Bank Transfer  Credit / Debit Card
Chq / DD No.____________ Date______________ Bank Name ____________________________Amount ________________towards
fee ____________________in favour of “SMALL & MEDIUM BUSINESS DEVELOPMENT CHAMBER OF INDIA”, MUMBAI.
Bank Details for NEFT: Name of Account Holder: Small and Medium Business Development Chamber of India
Name of the Bank: Allahabad Bank | Address: Khar (W), Mumbai – 52 | Account No. : 50149797945 | IFSC Code: ALLA0210302

Date ________________ Place __________________________ Signature with Company Seal ________________________________

Note:
 Register before 10th June, 2019
 On the spot Delegate Fee will be Rs.5,000/- per person.
 Delegates should bring company profile, business cards and specific business interest / requirements.
 Organisers reserve the right of admission and modification in the program or agenda, venue and date.
 Organisers reserve the right of inviting speakers and partners / sponsors
 Participation Fee includes – Networking Breakfast and Lunch
 Each delegate should register on separate registration form.
 Incomplete registration form and non-paid registration forms will not be accepted.

Contact for REGISTRATION | RSVP | SPONSORSHIP | SPEAKING & PARTNERSHIP OPPORTUNITY

Saakshi Kulkarni (Ms.), Director
SME CHAMBER OF INDIA
Tel: 022- 6150 9800 / 6667 4444 | Email: registration@smechamber.in | director@smechamber.com
Address: - 3, Upper Ground Floor, Samruddhi Venture Park, MIDC SEEPZ, Andheri (E) Mumbai - 400 093
Duly Completed form should be sent by E-mail on registration@smechamber.in | Fax (022 – 2825 0414) SK