| Online
Payment |
| Salutation |
|
| Name
: | |
| Organization |
* |
| Job
Title : |
|
| Postal
Address : |
*Please
mention your Credit Card Billing Address |
| City
: |
|
| State
/ Province : |
* |
| Country
: |
* |
| Postal
Code : |
|
| Phone
(Office) : |
|
| Phone
(Home) : |
|
| Mobile
: |
|
| Fax
: |
|
| Email
: |
* |
| Payment
Details | |
|
|
| Enter Code in the box below (Shown
in the image) |  |
| Image Code |
|
I
hereby authorize Neumech Events, New Delhi, India to charge my Credit Card on behalf
of the specified conference for the amount shown above.
I acknowledge
the charges described above. I understand the above amount is subject to cancellation
policies already informed to me and undertake not to take a charge back or dispute
the above amount in any way once it is charged to my card.
Disclaimer:
The actual charge on your credit card might differ from our invoice amount due
to exchange rate differentials between various currencies and our home currency. |
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