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Page 1: PALAZZO VERSACE HOTEL DUBAI UAE - Middle East Retail … · Name of Company Designation Date of birth Gender: M F Nationality Address Phone Mobile Fax Email Date Signature Expiry

Welcome aboard. Thanks for your registration. We will contact you with more details on this.Send this completed form to: Chelene Raath Tel: +971 44 467553 • E-mail: [email protected]

Cancellation Policy Substitute delegates will be allowed. No refunds will be made on account of no-show under any circumstances.

Mode of payment

Cheque

to Images Multimedia FZ-LLC, Emirates NBD PJSC,

CVV No.Account no. IBAN AE320260001014922727701. Swift Code: EBILAEAD, Branch: Dubai Media City, Dubai, UAE

Credit Card ( Mastercard Visa)

DELEGATE DETAILS

Single ticket AED 2,000

Two tickets AED 4,000

Three tickets or above 1,700 x

Total for above

CONFERENCE No.

Name (Mr/Ms)

Name of Company

Designation

Date of birth Gender: M F Nationality

Address

Phone

Mobile

Fax

Email

Date

Signature

SignatureExpiry Date:

Month Year

PALAZZO VERSACE HOTELDUBAI UAE

Single ticket AED 1,500

Two tickets AED 3,000

Three tickets or above 1,275 x

Total for above

AWARDS

Single ticket AED 3,150 10% AED 350

Two tickets AED 6,300 10% AED 700

Three tickets or above 2,975 x

Total for above

AWARDS & CONFERENCE DISCOUNTS YOU SAVE

BEST OFFER15%

No. No.

Bank Transfer to Images Multimedia FZ-LLC, Emirates NBD PJSC, Branch: Dubai Media City, Dubai, UAE, Account no. IBAN AE320260001014922727701

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