Conference ExhibitionApril 20-22 2017 April 21-22 2017
Mumbai, India
REGISTRATION FORMPERSONAL DETAILS (Please Use BLOCK LETTERS)
TITLE Mr. Mrs. Prof. Dr. Ms.
Delegate's Full Name .......................................................................................................................................................................
Company Name ..............................................................................................................................................................................
Address ..........................................................................................................................................................................................
City ................................................................................................... Country ...............................................................................
Phone No. ..........................................................................................Email ..................................................................................
ASME MEMBERSHIP No (if applicable)
How did you hear about this program
ASME EMAIL
ASME WEBSITE
WORD OF MOUTH
SOCIAL MEDIA
MEDIA PARTNER
OTHERS .................................
Have you attended IOGPC before ?
YES
NO
2009 2011 2013 2015
REGISTRATION DETAILS
EARLY BIRDMEMBER*
EARLY BIRD NON‐MEMBER*
16,000
18000
Above rates are inclusive of 15% service tax.
Registration fee includes ‐ 2 days of technical presentations, reception, break, lunch (if applicable) for one attendee
PAYMENT DETAILS
1. Bank Transfer
Name of the Account
Bank Name
Account No.
Bank Address
IFSC Code
SWIFT Code
VECTO EDGE
HDFC Bank
5020013449943
24/3, HDFC House, No.51,
Kasturba Road, Banglore INDIA
HDFC0000009
HDFCINBB
2. Cheque / Demand Draft in favour of
"Vecto Edge" Payable at Bangalore
Cheque / Draft No. ...................... Date ....................................
Amount ....................................................................................
Bank Name ...............................................................................
Branch ......................................................................................
Date ................................ Signature.....................................
General Conference Policy
The non‐member fees include a one year membership to ASME
Check program website for additional information www.asme.org/IOGPC
Please send this Registration Form and Cheque/DD to the Conference Manager:
CATAGORY USD INR TICK
240
270
ASME India Office
B101, Surbacon Maple, Chikkanayakanahalli RoadNear Dodakanelli Junction, Carmelaram Post,
Bangalore 560035
Rakesh Kumar +91 9886396791
[email protected] Madhukar Sharma, [email protected]
ASME Pipeline Systems Division ‐ US OfficeKim Miceli, [email protected]
www.vectoedge.comwww.asme.org/events/iogpc
MEMBER
NON‐MEMBER
19,000
22,000
285
315
*Early Bird Registration ends on 1st February
3. Online registration and payment are available here: www.asme.org/events/iogpc/register