Shopping Centres Successfully - Middle East Council of Shopping ...

WORKSHOP REGISTRATION FORMIn Association WithMarketing Shopping Centres SuccessfullyDecember 2 -3, 2010 • The Taj Palace Hotel, New Delhi, IndiaREGISTER TODAY by faxing your application form to +971 4 3558818 • Email: register@mecsc.orgPlease submit one form for each delegate, even if paying for agroup. Photocopied forms may be used for additional delegates.Please complete all sections of this form using BLOCK LETTERS.Mr/Mrs/Ms:First Name:Family Name:Job Title:Company:Postal Address:Workshop Registration FeesPLEASE REGISTER ME FOR THE WORKSHOP AS FOLLOWS:Early Bird – Payments received on/before November 4, 2010ICSC/SCAI Member INR 17,500 (US$ 385)Non Member INR 22,500 (US$ 500)Regular – Payments received after November 4, 2010ICSC/SCAI Member INR 20,000 (US$ 445)Non Member INR 25,000 (US$ 555)City:Post Code:Country:Phone:Fax:Payment Options (Please tick your choice below)Option 1 - Credit CardCharge my Visa Mastercard AmexMobile:Email:Website:ICSC/SCAI Membership No. (if member):Language of InstructionThe workshop will be conducted in English.Cancellation PolicyIf you are unable to attend, a substitute delegate may be arranged.For cancellations received in writing prior to November 11, 2010,full refund of amount received will be made after deduction ofbank charges and INR 1,500 towards administration charges.50% refund for cancellations received prior to November 18, 2010.No refund for cancellations received on or after November 19, 2010.Accommodation - Hotel ReservationsYes, I am interested to book my accommodation.Please send me further details.No, I will make my own arrangements.Group DiscountA discount of INR 1,000 per delegate can be availed for bookingsof three or more participants from the same company.Total US$:Name (please print):Card Number:Expiry Date:Signature:Note: Merchant Name appearing in the credit card transaction will be MECSC. Allcredit card payments will be charged in UAE Dirham based on the current day’sexchange rate.Option 2 - Telegraphic TransferTo: Mashreq Bank, Burjuman Centre, Dubai, UAEAccount: Middle East Council of Shopping CentresAccount No: 0690 387476, Swift Code: BOMLAEADPayment should be made net of all bank charges & commissions. Please clearlymention the delegate name(s) on the transfer application and indicate that thetransfer is for the ICSC India Workshop.Note: *Program is subject to change without prior notice. *Program will be held subject to minimum number of registrations.For all enquiries, please contact MECSC, PO Box 43972, Dubai, UAETel: +971 4 359 7909 • Fax: +971 4 355 8818 • Email: register@mecsc.org • Website: www.mecsc.org