AMCL-afaqs!

Please fill in your details

(All fields are mandatory)

First Name*

Last Name*

Address*

City*

City (if not listed)

State*

Postal Code

Company*

Designation*

E-mail (login ID)*

Fax

Mobile Number*: Mobile ( Please mention one number atleast )

Office Number

No. of Teams* (Rs 25000 per team): 1 2 3

Regions*: Delhi Mumbai Bangalore

: I agree with the Terms & Conditions

Payment

Booking Price *(INR): 25000 (inclusive of Tax)

Payment Mode* (Online/Cheque/BankDraft)

: Please make your Crossed Cheque or Bank Draft payable to "Banyan Netfaqs Pvt Ltd" in INR only, and mail the same at Banyan Netfaqs Pvt Ltd, B-3, First Floor, Sector 4, Noida - 201301

Cheque / DD should be in favour of "Banyan Netfaqs Pvt. Ltd." and mailed to the following address:

Banyan Netfaqs Pvt. Ltd.
B - 3, First Floor, Sector -4, Noida - 201301, India.
For enquiries:
Mail:nakkul.jerath@afaqs.com
Call +91-120-4077800/812 ( From Delhi: 95120-4077800/812 )

Sponsors