international inner wheel conventiontransfer from jaipur railway station to hotel transfer from...

rd thDate : 3 – 6 March, 2021Venue: Jaipur Exhibition and Convention Centre

INTERNATIONAL INNER WHEEL CONVENTION

www.iiwconvention2021jaipur.com

REGISTRATION FORM

Name Badge_________________________________________District _________________________________________________

Address ____________________________________________________________________________________________________

Email Address for communication______________________________________________________________________________

Title___________ First Name ________________________________________ Last Name_________________________________

Telephone (+_______) ___________________________________ Mobile (+_______)____________________________________

City _____________________________________Country_____________________________________ Postcode______________

Inner Wheel Club of__________________________________________________________________________________________

PLEASE USE BLOCK LETTERS

Section 1 – Inner Wheel Member

Please select dietary requirements:

Vegetarian Non Vegetarian Non Vegetarian (Halal)

Other Medical Dietary requirements, if any______________________________________________________________________

Special Requirements: Please provide information about your specific needs (e.g. wheelchair access)

____________________________________________________________________________________________________________

Please select your delegate category:

Voting Delegate

I wish to serve as a Steward - Only for registered non-voting delegates, *stewards must speak fluent English

IIW Past President

Do you require simultaneous translation:

Do you require simultaneous translation headphones? Yes Language:_________________________ No

Please note: It is not guaranteed that simultaneous translation will be available. Cost and availability will be

shared at a later stage depending upon demand for each language..

Accompanying Person/s

First Accompanying Person:

Title___________ First Name ___________________________________ Last Name_______________________________________

Name Badge _________________________________________________





____________________________________________________________________________________________________________

Second Accompanying Person

Name Badge _________________________________________________

Title___________ First Name ___________________________________ Last Name_______________________________________





____________________________________________________________________________________________________________

All fees are quoted in Indian Rupee (INR) and are inclusive of GST

Early Bird RegistrationTill 31st October 2020

INR 35,000

INR 35,000

INR 35,000

Standard RegistrationFrom 1st November 2020

INR 40,000

INR 40,000

INR 40,000

Inner Wheel Member Registration

First Accompanying Registration

Second Accompanying Registration

On Spot RegistrationFrom 1st Feb 2021

INR 50,000

INR 50,000

INR 50,000

Registration Fee Total: INR______________________

Section 3 – Optional Social Functions


Golf Day – Wednesday 3rd March 2021 INR 8,850

Please mention your handicap (1-40)________________________________________________________

Do you require a golf bag _________________________________________________________________

If yes, are you left handed or right handed

Left handed Right handed

Would you prefer a Steel Set or Graphite Set

Steel Set Graphite Set

Please indicate below if you will be attending the Group Discussion/ Workshop on Wednesday, 03 March

from 2:00 – 4:00pm

Yes, I will be attending No, I will not be attending

Section 2 – Social Functions

All social functions are inclusive with participant's registration; however, your indication of attendance is still necessary.

WELCOME RECEPTION – Wednesday 3rd March 2021 | JECC Lawns

Number Attending_________________________________

FRIENDSHIP DINNER – Thursday 4th March 2021 | City Palace


GALA DINNER – Friday 5th March 2021 | JECC Lawns


Total Payment Enclosed: INR____________________________________

See over for Payment Details

To assist us with your booking please complete the following details

Single Double Triple

Do you require an accessible room? _____________________________________________________________________________

I will be sharing with __________________________________________________________________________________________

Check - In Date: _________________________________________ Check - out Date: ______________________________________

Special Requests _____________________________________________________________________________________________

Accommodation Fee Total: INR__________________________________


Crowne Plaza

Jaipur Marriott Hotel

Royal Orchid, Tonk Road

The Fern Ecotel Hotel

Pride Amber Vilas

Clarion Bella Casa

Sarovar Premiere

Hotel Marigold

Four Points by Sheraton

Grand Maple

Hotel Name

Five Star

Five Star

Five Star

Four Star

Four Star

Four Star

Four Star

Four Star

Four Star

Three Star

Category

0.1

9

8.5

8.6

2.9

8.9

12.9

0.8

10.6

1.5

Distance fromthe Venue (km)

Double Triple

12500++

8000++

7700++

7150++

8000++

7000++

6500++

7499++

7499++

4500++

14000++

9200++

8500++

7565++

8499++

8499++

5500++

Taxes

18%

18%

18%

12%

18%

12%

12%

12%

12%

12%

12500++

8000++

7700++

6600++

7500++

7000++

6500++

7499++

7000++

4500++

Single

Accommodation bookings are subject to availability. Total payment must be received with your registration to secure youraccommodation booking.

Section 4 - Accommodation

The Convention Secretariat has confirmed rooms in the selected hotels below for the benefit of Convention participants.The hotels have been selected due to their proximity to the Convention venue.

Please ensure you have read all the terms and conditions in the Registration Booklet prior to completing youraccommodation booking.

Section 5 - Transfers in Jaipur

Flight/ Train Number (Arrival) ______________________

Flight/ Train Number (Departure)___________________

Arrival Details ___________________________________ Departure Details ___________________________________

1000

1000

1000

1000

Transfer Details Amount (INR)

Section 6 - Summary of Payments

Section 1Section 3Section 4Section 5

Registration FeesOptional Social FunctionsAccommodationTransfer in Jaipur

INR___________________INR___________________INR___________________INR___________________

Transfer from Jaipur International Airport to Hotel

Transfer from Hotel to Jaipur International Airport

Transfer from Jaipur Railway Station to Hotel

Transfer from Hotel to Jaipur Railway Station

All payments must be made in Indian Rupee. Please select your preferred payment option below:

Method of Payment: Payment of registration fees must accompany all registrations. No registration will be confirmed until payment is received.Payment can be made by the following method:

Bank Transfer:

MCI GeTS India Pvt Ltd - IIW 2021Address: CITI Bank, DLF Square, M Block, Jacaranda Marg, DLF City, Phase II, Gurgaon - 122 002, IndiaIFSC Code: CITI0000014Swift Address No: CITIINBXAccount No: 0004889247

Please include your Full Name and attach the scan copy of MT100/Bank advice if paying through bank transfer and emailthe transfer receipt (remittance) to the Secretariat at [email protected].

I herewith confirm by my signature below that I have read and am fully aware and accept the cancellation/payment conditions and the liability/insurance conditions stipulated in the Registration Booklet and on the Convention Website: www.iiwconvention2021jaipur.com

Please keep a copy of this form for your records

Signature:__________________Date:__________________

Name - Please Print Clearly: ____________________________________________________________________________________

international inner wheel conventiontransfer from jaipur railway station to hotel transfer from...

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