Subscription form "MODAPELLE"

YES, I would like to subscribe to the following MODAPELLE MAGAZINES for the term indicated below ()			AIR-MAIL	REGISTERED AIR-MAIL	EXPRESS SERVICE DOOR TO DOOR
* Please print and fill the form *			Rs.	Rs.	Rs.
SHOES	1 Issue		2225	2625	3150
SHOES	1-year subscription	4 Issues	8350	9900	12100

STYLING	1 Issue		2900	3250	3800
STYLING	1-year subscription	2 Issues	5450	6100	7200

BAGS	1 Issue		2225	2625	3150
BAGS	1-year subscription	2 Issues	4150	4800	5900

	1 Issue		2900	3250	3800
	1-year subscription	4 Issues	10150	11500	13700

	1 Issue		2900	3250	3800
	1-year subscription	4 Issues	10150	11500	13700

	1 Issue		2900	3250	3800
	1-year subscription	4 Issues	10150	11500	13700

	1 Issue		2900	3250	3800
	1-year subscription	2 Issues	5450	6100	7200

Company Name (Capitals):
Business Activity:		Phone:
Address:
City & State:
Pin:
Country:
Email:
Payment By:	Cheque Demand Draft
No.	Bank.
In favour of Indian Shoe Bazaar
Date: ______________	Signature: ____________________

Please print and fill in the above order form and mail it along with your remittance to: Indian Shoe Bazaar, F-25, South Extension-I, New Delhi-110049 For Queries contact: Delhi: 011-4655686 or Fax: 011-6810535 Terms
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