49^th FCBM Conference

FCBM Member

Guest

Participant Details		Amount (Rs.)
1.	Delegate Name* Mobile * Category * Select Food Pref* Select Non-Veg Veg Jain Photo *
2.	Delegate Name Mobile Category Select Member Spouse Child Food Pref Select Non-Veg Veg Jain Photo
3.	Delegate Name Mobile Category Select Member Spouse Child Food Pref Select Non-Veg Veg Jain Photo
Sub Total
GST @ 18%
Total

Organisation Details

Organisation* GSTIN Address * City* PIN* State* Select Email* Phone

Name of Regional Association*

Single Occupancy

Double Occupancy

Occupant Details  Copy from above
Name of Occupant #1 * Mobile* Name of Occupant #2 Mobile No. of Nights* Select 1 2 3 4 Date : From* Select Checkout*
Net Hotel Amount (Rs.)

Total Amount (Rs.) [ Registration + Hotel ]

By clicking below, the pre-filled PDF forms for Registration and Hotel Booking will be generated. This would be sent on email and also can be downloaded. Once payment is made, please share the details at conference2020@eicbma.com.