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Automotive Electronics 2012 Delegate Registration Form

automotive.ycorpmedia.com

Please do not leave any applicable field blank Title ............. First Name:

Last Name:

Designation:

E-mail:

Organization: Address1: Address2: City - Pin Code:

Country:

Direct Tel.:

Fax:

Mobile:

Website:

I Will Participate in Following Events*: Dates

Conferences

Venue

Price (INR)*

Price (USD)*

AETS: In-Vehicle Infotainment & Telematics

19 -20 April 2012

Bangalore

17,000

350

AETS: Safety & Security

28 - 29 June 2012

Pune

17,000

350

AETS: Powertrain & Fuel Systems

8 - 9 August 2012

Chennai

17,000

350

Bangalore

17,000

350

AETS: In-Vehicle Networks

13 - 14 September 2012

AETS: Vehicle Diagnostics

8 - 9 November 2012

Chennai

17,000

350

13 - 14 December 2012

Gurgaon

17,000

350

81,600

1,700

Automotive Electronics Conference (AEC) 2012 ALL ACCESS PASS

SUPER SAVER GET

Group Packages No. of Delegates

Price per Delegate*

20

% OFF

Special Packages

Price per Delegate*

Exclusively for Academic Researchers & Students

INR 3,000

Per Event Basis

6 - 9 (@5% Discount)

INR 16,150 / USD 330

10 - 15 (@10% Discount)

INR 15,300 / USD 310

16 and above (@15% Discount)

INR 14,450 / USD 295

How to Register: ONLINE

E-mail

FAX

PHONE

http://automotive.ycorpmedia.com

auto@ycorpmedia.com

+91 22 2765 4797

+91 22 2292 0453

Payment Information Registration forms must be accompanied by full payment in order to be processed. Payment should be made in the form of Cheque / Pay Order or Demand Draft (DD). Cheque / DD to be drawn in favour of ‘YCorpMedia’ payable at Mumbai. Please use Online registration for payment through Credit Card and Net Banking.

Payment Details* I/We are enclosing herewith the above payment through Cheque/DD No. ................................................................................................................. Drawn on (Bank Name)........................................................................... for Rs. ....................................................................................................... Additional Instructions Payment Information: Registration forms must be accompanied by full payment in order to be processed. Spelling error(s) on cheque and declined credit are considered non payments and registration will not take place. No registrations will be accepted over telephone. Cancellation Policy: Cancellations must be confirmed in writing. No refund will be made on cancellations. “No shows” are non-refundable and are liable for the full registration charges. If you cannot attend, you may send a substitute person. The orginal registrant must submit a written authorization for such a change. Confirmation: Please allow up to 10 days for mailed confirmation of your registration.

By sending in this registration form, I acknowledge that I commit myself to the immediate payment of the full conference fee. I have taken notice of all the terms & instructions on this form.

Name:

Signature: *Plus Taxes as applicable

Date: *Registration free includes the conference official documentation, lunch and social events.

Please Fax the completed form to +91-22-2765 4797 or mail to: auto@ycorpmedia.com


Automotive Electronics 2012 - Annual Calender