Name:    
Address:    
City: State:
Telephone No.     Fax:
E.Mail:      
Stalls / Booths Req .   Rs. 10,000/- per booth
Amt Rs.:      
Cheque / DD No:   Bank Name  
Cheque Date    
Representative Name if any
Name of the fascia board  
I have read and understood the special regulations of the Exhibition and shall abide by them.