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  Registration Form for Package Sponsorship
  Please fill-in the following form and click on the Submit Button:
     
  Contact Information
     
  Name and address of the sponsor
  Website URL
  Name of the contact person
  Telephone
  Fax
  Email
     
   
  Sponsorship Details View Sponsorship Rates 
   
  Please select one of our Packages that you wish to sponsor
     
     
  Payment Details
     
  Please select your mode of Payment:  Bank draft 
    ( Bank draft should be on drawn on a bank in Bangalore. ALL PAYMENTS SHOULD BE MADE IN FAVOUR OF "Centre4ei" All Bank Charges to be borne by the sender )
     
     Cheque 
     Pay order 
     Wire Transfer number
     
  Corresponding Number of the chosen Payment:
  Dated:
  Drawn on:
  Bank Name:
     
  Account Number:
  Swift Code:
  Bank Address:
     
  Declaration:
(Please select the Checkbox) 		We would like to sponsor the above conference event(s) in the embedasia 2007
     
     
     
     
     
 
 
 
 
 
 
 
 
Centre for Embedded Intelligence

Address :   #635/B, 2nd Floor, 2nd Stage, Dr. Rajkumar Road, Rajajinagar , Bangalore -560010. INDIA
Phone    :   +91 80-41285779,Mobile :91-9342333332
email     :   standly@embedasia.com , kstandly@gmail.com , expo@embedasia.com