Please fill the Following Details (in English only) : |
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| * First Name: |
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| * Last Name: |
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| * Email: |
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| Phone: |
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| Nationality: |
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| Address: |
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| City : |
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| State : |
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| Zip : |
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| Country : |
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| Conference Fee: |
For South Asian delegates:
INR 2000 (US $42) - (early bird by May 01, 2009) - this amount is inclusive of IRN membership fees to end 2009 |
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After May 1, 2009 – INR 2,500 ( US $ 52) |
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For delegates from developing countries and emerging economies:
INR 2000 (US $42) - (early bird by May 01, 2009) - this amount is inclusive of IRN membership fees to end 2009 |
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After May 1, 2009 – INR 2,500 ( US $ 52) |
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For other delegates:
US $500 (early bird May 01, 2009) - exclusive of membership fees for 2009 |
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After May 1, 2009 –US $ 600 |
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Fees for accompanying persons - spouse/children/others
For the day of the field trip – $100 (This covers tea, lunch and transport)
For the rest of the days - $30 per day (Covers only tea and lunch)
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| Accompanying person(s) fee: |
(in USD)
Please note the name(s) of your accompanying person(s) must be emailed to: abstractsforirn@gmail.com Please indicate what amounts you have paid for the accompanying person as they will be given tickets to attend these events. People without tickets will not be able to attend.
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For those in India who wish to pay by "cheque at par" or a "demand draft" :
The amount should be drawn in favour of Seva Mandir, payable at Udaipur.
- The cheque at par/draft should be accompanied with a covering note specifying that this is toward registration fees for the IRN Forum
- The cheque at par/draft should be mailed to The General Secretary, Seva Mandir , Seva Mandir, Fatehpura, Udaipur 313004, Rajasthan
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| Methods of Payment: |
Paypal (payable to International Rural Network Inc.) |
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Bank |
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Cheque/Draft |
| Payment Details: |
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| * Enter the above Code: |
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