National l Seminar on "Pharmacy Regulation for meeting the demand of our Nation"

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Sponsorship & Advertisement Form

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National Seminar on "Recent Advancement in
Herbal Drug Research"

March 4th, 2013; Uluberia, Howrah.


(Please use a separate Order Form for multiple advertisements / sponsorships. Photocopies of this form are acceptable)
Please send the Order Form through Registered Post I Courier I Messenger to ensure that it reaches safely. Kindly issue only Alc Payee Cheques or Demand Drafts favoring Seminar payable at Uluberia, Howrah.

The Convener
National Seminar on "Recent Advancement
in Herbal Drug Research"
Calcutta Institute of Pharmaceutical Technology & AHS
Banitabla, Uluberia, Howrah 711316. West Bengal

Dear Sir,

I/We___________________________________________________________________________________________________________ (Name & full postal address of the Sponsor).

am/are pleased to:
>Sponsor this event/item ______________________________________
> Insert an advertise of type ____________________________________

The advertisement matter is
" Enclosed.
" To be provided.
In the forthcoming International Workshop Souvenir.

Please find enclosed a Cheque /Demand draft Number ________________ date ____________ for Rupees (in words) _________________________________________________ [Rs. (In figures) _____________] only drawn on the following bank ________________________
_______________________________________________________ .
Please note the attached _____________________________________________
Special instructions (if any)

Signature with date of authorized representative ____________________________

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