REGISTRATION FORM

SME MANUFACTURERS & EXPORTERS SUMMIT

28th January 2020 | Hotel Courtyard by Marriott, Ahmedabad

Name of the Delegate _________________________________________________________ Designation _______________________

Company Name _______________________________________________________________GST No:___________________________

Address _______________________________________________________________________________________________________

City ___________ Postal / Zip Code ________________ State _________________________ URL ____________________________

Telephone ___________________ Mobile __________________________________ E-mail ___________________________________

Type of the Company: Manufacturing / Exporters / Importers / Service Sector / Consultant / Others ________________________

Turnover of the Company 2018-2019:_____________________________________________________________________________

Main Business Activities __________________________________________________________________________________________

Specific Business Interest ________________________________________________________________________________________

Looking for bank or trade finance _________________________________________________________________________________

Looking for Export Opportunity___________________________________________________________________________________

Looking for JV / TT ____________________________________________________________________________________________

Looking for investment __________________________________________________________________________________________

Any Specific Business or finance requirements _______________________________________________________________________

PARTICIPATION FEE (PER DELEGATE):

 Members – Rs. 2,000/- + 18% GST (Payable Rs. 2,360/-)
 Non- Members – Rs. 3,000/- + 18% GST (Payable Rs. 3,540/-)
 Insurance Companies & Brokers / Banks / NBFC / FIs / Credit Ratings / IT & ITES Companies - Rs. 5,000/- +
18% GST
Note:

 Registration on the spot Rs.3,000/- + GST

 Participation Fee includes – conference and Networking Lunch.
 Registration should be on or before 25th January, 2020
 Participation Fee is Non-Refundable.
 Please submit your specific business requirement or issues related to concerned agencies seven days before
the conference.
Payment Options (Please Tick  Below)
 Cheque (only for members)  Demand Draft (DD)  Bank Transfer  Credit / Debit Card
Chq / DD No.____________ Date______________ Bank Name ____________________________Amount ________________towards
Fee ____________________in favour of “SMALL & MEDIUM BUSINESS DEVELOPMENT CHAMBER OF INDIA”, MUMBAI.
Bank Details for NEFT: Name of Account Holder: Small and Medium Business Development Chamber of India
Bank: Allahabad Bank | Address: Khar (W), Mumbai–52 | Account No.: 50149797945 | IFS Code: ALLA0210302

Date ________________ Place __________________________ Signature with Company Seal ________________________________

Contact for REGISTRATION | RSVP | SPONSORSHIP | SPEAKING & PARTNERSHIP OPPORTUNITY

Saakshi Kulkarni (Ms.), Director
SME CHAMBER OF INDIA | SME BUSINESS FORUM
Tel: 022- 6150 9800 / 6667 4444 | Email: director@smechamber.com | director@smebusinessforum.in
Address: - 5, Upper Ground Floor, Samruddhi Venture Park, MIDC - SEEPZ, Andheri (E) Mumbai - 400 093.
Duly Completed form should be sent by E-mail on director@smechamber.com | Fax (022 – 2825 0414)