Souvenir Sponsor
Multi Color
1 Page
Single Color [Black & White]
1 Page
Back Page
1 Page
Inner Back 1
1 Page
Inner Back 2
1 Page
INR 40,000.00 + Service
Tax
INR 25,000.00 + Service
Tax
INR 1,20,000.00 +
Service Tax
INR 50,000.00 + Service
Tax
INR 50,000.00 + Service
Tax
Confirmation Form
Name of the
Organisation
Address
Phone
Fax
Web
Email
Contact Person
Designation
Email
Phone
Nature of Business
Area of Interest
We here by booking __________________ Advertisement and Total Price: ______________ [in words]
in the name of _________________________________________________.
Payment Details:
Authorized Signature of the Sponsoring Company
Kindly forward this form duly filled and signed along with DD/Cheque in favour of
FatigueDurability India 2016 Payable at Bangalore.
Technical Secretariate
FatigueDurability India 2016
Institute of Structural Integrity and Failure Studies
# 28 (Old No 619/1), 2nd Floor, 36th Cross, 2nd Block, Rajajinagar, Next to Srinivasa
Kalyana Mantapa, Bangalore560010
Please forward this form with DD/Cheque of the sponsoring amount in name of
FatigueDurability India 2016 Payable at Bangalore.
Send to
Convenor - FatigueDurability India 2016, # 28 (Old No 619/1), 2nd Floor, 36th Cross, 2nd
Block, Rajajinagar, Next to Srinivasa Kalyana Mantapa, Bangalore-560010 India Ph/Fax:
+91 80 49539628, +91 9591994642, +91 9900138009
Web: www.2016.fatiguedurability.com
* Organizers retain the right to accept or reject the sponsorship without assigning any reason