2.   Check - Out Date :                 

3.   No. of Room Nights:              

4.   Total Amount Payable : INR   

Payment Details

Charges Applicable

1.   Total Delegate Registration Fees * :             INR  

2.   Total Amount Payable (ACCOMMODATION) INR  

                            Grand Total Amount Payable*  INR  

Bank Draft/Demand Draft/Pay Order

in favour of "Sleepmed2005"

payable at Delhi     No.   *     Dated:  *