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Kindly fill out the following registration form and click on submit. Make sure that you have entered the correct information before submitting.

Alternatively you can also download the registration form (right click and save) and fax it back or email it at intek@emirates.net.ae

Company:
Street Address:
City:

Postal Code:

Country:
Tel:
Fax:
E-mail:
URL (if any):

Payment:

(US$ / DHS) :

 

We wish to nominate the following executive/s.

#

Name

Designation 

Workshop
Location & Date
1.

2.

3.

4.

5.

Nominated By: (Name, Designation)

Please mention below if you have any further Queries / Comments:

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