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Registration Form
AHCAB PICNIC 2012
Date:February 17, 2012 (Friday)
Venue:Zinda Park, Rupgonj, Narayangonj

Animal Health Companies Association of Bangladesh
Centre Point (Unit 12 D), 14/4 Tajkunipara,
Farmgate C/A, Tajgaon,Dhaka
Phone: 880-2-9141050
Fax:880-2-9141050
Email: info@ahcab.net
Web: www.ahcab.net
  I confirm my participation at the AHCAB Picnic. I have given below my particulars.
 
Name *
 
Company Name *
 
Mobile *
Phone
 
E-Mail *
 
Contact Address
  Payment of Registration charges:
   
No. of Persons
 Registration fees
 
Adult
 Tk 1200.00 (per person)
 
Children
(Under 12 years)
 Tk 500.00 (per person)
 
Driver
 Tk 300.00 (per person)
 
Transport (Subject to Availability)
 Yes (If Yes) Select How Many

No
 

Please note:
1. All rates quoted per person
2. Registration by 31st January 2012 will receive Free Raffle Draw Ticket.
3. You can also Register Online, Visit: www.ahcab.net/picnic
  Payment of Registration Fees:
 

• Please pay in cash against valid receipt at AHCAB Secretariate.
• Registration fees are non-refundable.

 

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