Registration

Registration Form

Please choose from the options below to participate in the event:

	After August 15, 2010
Indian Students (with student sponsorship code)		Rs 500
Indian Students		Rs 1500
International students		Rs 2500
Non-students from India		Rs 7500
International non-students		Rs 12500

*15% discount for IAMI, HL7, ACM members.

*All the student participants with the sponsorship code are requested to bring their respective students ID at the time of conference.

	Please complete the following information:
	First Name*
	Last Name*
	Organisation*
	Membership*
	Sponsorship Code*
	Address Type*
	Address Line1*
	Address Line2
	City*
	State*
	Country*
	Telephone*
	Zip code*
	E-mail*
	Requirements/Suggestions	(Like visa letters, etc.)
	Need certification of participation
	Payment Mode*	(Please do not use debit cards as they will not go through)


	NOTE: You can pay the registration fee by Credit Card or Cheque/Demand Draft. If you choose to pay by Cheque/Demand Draft, the same should be payable to "Indian School of Business". After submitting your registration details, take a print out of the final registration confirmation page and mail it along with the Cheque/Demand Draft to: Research Collaboratory for Service Science Indian School of Business Gachibowli, Hyderabad 500032, India. Ph: +91 40 23187192 Fax: +91 40 23007099

* Fields are required.