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Registration Form
AHCAB PICNIC 2016
Date:9th January 2016 (Saturday)
Venue:Mohammadi Garden (Spot-1,2,3) Dhamrai, Dhaka

Animal Health Companies Association of Bangladesh
Centre Point (Unit 12 E), 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
 
Single/Guest (Adult)
Tk 800.00 (per person)
 
Couple
Tk 1200.00 (Per Couple)
 
Children
(over 3 years)
Tk 500.00 (per person)
 
Drivers/Bua/Aya
Tk 500.00 (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 December 2015 receive Free Raffle Draw Ticket and No registration allowed after 31st December 2015.
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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