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Application Form |
International Symposium on
Stem Cells: From Laboratory to Treatment of Diseases
APPLICATION FORM FOR ADVERTISEMENT/ EXHIBITION/ SPONSORSHIP
December 27-28, 2005
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We would like to
advertise in your forthcoming Stem Cells conference souvenir. Our advertisement
should appear in __________________________________ (select one from the description
of the advertisement tariff). We are enclosing a demand draft/ cheque of Rs.
____________
No. __________ Date ____________.
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| Note: The advertising matter should be in Microsoft Word/ Power Point/ JPEG (.JPG) format only. |
Name of the Organization/ Industry: _____________________________________________________
Date: __________ Signature: _______________ Name & Designation:
_______________________
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TARIFF DETAILS
Advertisement Tariff
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| Front inside cover |
Multicoloured |
Rs. 20,000/-* |
| Back inside cover |
Multicoloured |
Rs. 15,000/-* |
| Back cover |
Multicolourd |
Rs. 30,000/-* |
| Full Page (Inside) |
Multicoloured |
Rs. 15,000/-* |
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Black & White |
Rs. 10,000/- |
| Half Page (Inside) |
Multicoloured |
Rs. 7,000/- |
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Black & White |
Rs. 5,000/- |
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Tariff for the Stalls/ Exhibition & Sponsoring a session
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| Unit Area (7’ X 10’) |
Rs. 10,000/-* |
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*2 Members will be allowed to register free for all 2 days |
| Sponsoring a scientific session |
Rs. 25,000/-† |
(Each session will be theme based, comprising 4 oral
presentations and will be of approx. 2 hours duration) |
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| Sponsoring a lunch/ dinner |
Please contact the organizer† |
| Sponsoring Conference material (Including bag, stationery) |
Rs.25,000/- |
† A stall, full page black & white advertisement and registration for 2 members
will be provided free of charge to the sponsor of Scientific Sessions or the lunch/ dinner
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Please send your sponsorship, advertisement charges and/ or exhibition charges
- By bank draft in favour of “Convener, Stem Cells 05” on any bank in Bhubaneswar, India
- By Direct credit or by credit card to Convener, Stem Cells 05,
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A/C No. : 380801010035120, Union Bank Of
India, Main Branch, Bhubaneswar
(SWIFT CODE : UBININBBABNW in case of remittance from outside India).
In case of credit card payment, write the name as it appears on the card, card number and the expiration date.
Payment details including transaction ID must be sent along with the advertisement / exhibition request.
Please send advertisement / exhibition request to the following address :
Brig. B.K. Singh,
Imgenex India Pvt. Ltd.
E-5 Infocity, KIIT Post office,
Bhubaneswar- 751 024
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Late date: November 30th, 2005
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For further details visit our website: : www.stemcells05.org
and contact
us by email: info@stemcells05.org |
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