Registration Form

( Pdf Version )
DELEGATE INFORMATION
Delegate
  Surname First Name Middle Name
Spouse
  Surname First Name Middle Name
Designation
Company
Address Line 1
  Line 2
City
Post Code
State/Province
Country
Tel
Fax
E-mail
BUSINESS CATEGORIES:(please tick accordingly)
Exporter Importer
Processor Canner
Retailer Distributor
Wholesaler Fishing Operator
Acadamic Equipment Supplier
Broker / Supplier Consultant
Governement Press
International Organisation Other (Please specify)
Registration Fee : (please tick accordingly and calculate the Total)
INFOFISH Member Countries * US$ 850 (Before 6 April 2012) US$ 950 (After 6 April 2012 )
Other Countries US $ 1050 (Before 6 April 2012) US $ 1150 (Before 6 April 2012)
Accompanying Spouse US$ 250 (Before 6 April 2012) US$ 300 (Before 6 April 2012)
Total US$
* Bangladesh, Cambodia, India, Indonesia, Iran, DPR Korea, Malaysia, Maldives, Pakistan, Papua New Guinea, Philippines, Solomon Islands, Sri Lanka and Thailand.
Payment Details
Mode of Payment :
A bank draft (drawn on a U.S bank) payable to 'INFOFISH'
Charge my credit card
Card type:
AMEX       MASTER  VISA
Cardholder's name:
Card No:
Expiry Date:
Telegraphic transfer to :

 

Contact Infofish
Email : info@infofish.org

 
 

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