14TH WORLD CONGRESS
OF THE
INTERNATIONAL SOCIETY FOR LASER SURGERY AND MEDICINE
ORGANISED BY :  THE INDIAN ASSOCIATION OF LASER SURGERY AND MEDICINE
27 - 30th AUGUST, 2001, CHENNAI, INDIA
SPONSORSHIP / EXHIBITION APPLICATION FORM
 
Please complete this form using BLOCK LETTERS or TYPEWRITER.
Company Name : _______________________________________________________________________________
Address : _____________________________________________________________________________________
City : __________________________________  Country : _____________________________________________
Telephone : _____________________________  Telefax : ______________________________________________
Person to Contact : _____________________________________________________________________________
Position in Company : ___________________________________________________________________________
EXHIBITION REQUIREMENTS :
Booth(s) No. ___________________________________________________________________________________
PRODUCTS TO BE EXHIBITED :
Please specify : _________________________________________________________________________________
_______________________________________________________________________________________________
PAYMENTS :
Rental fee must accompany with deposit of 50% fee per booth booked. Payments should be made through Cheque /Bank Draft, drawn in  favour of  "Dr. B.KRISHNA RAU ISLSM 2001, CHENNAI".
Cheque / Bank Draft No. _______________________________________ Amount (U.S.$) ______________________
Name of the Bank ________________________________________________________________________________
Country : _______________________________   Dated : ________________________________________________
Exhibitor Names : 1) ______________________________________________________________________________
                           2) ______________________________________________________________________________
                           3) ______________________________________________________________________________
Signature : ___________________________                                         Date : ______________________________
Please return this copy to :  THE CONGRESS SECRETARIAT,
                                         Department of Surgery - D2 Ward,
                                         Sri Ramachandra Medical College & Research Institute,
                                         Porur, Chennai (Madras) - 600 116. INDIA
                                         Phone : 91-44-4765856    Fax : 91-44-4767008

CONGRESS SECRETARIAT
Department of Surgery
Sri Ramachandra Medical College & Research Institute (Deemed University)Porur, Chennai - 600 116 (Madras), INDIA
Tel: 91-44-4765856, 4768027-28, 8594804 Fax: 91-44-8594578 / 4767008 E-mail: bkr@vsnl.com


Jointly Organized By : THE INDIAN ASSOCIATION OF  LASER SURGERY AND MEDICINE
Joint Meeting With: INTERNATIONAL ASSOCIATION FOR LASER AND SPORTS MEDICINE
INTERNATIONAL ND:YAG SOCIETY