Subscription form "MODAPELLE"
for subscription in India

YES, I would like to subscribe to the 
following MODAPELLE MAGAZINES 
for the term indicated below ()

NO REGISTERED
AIR-MAIL

REGISTERED
AIR-MAIL

EXPRESS SERVICE
DOOR TO DOOR

* Please print and fill the form *

Rs.

Rs.

Rs.


   SHOES		 1 Issue

2100

2425  

2925  
1-year subscription 4 Issues 7825  9225  11225
2-years subscription 8 Issues

15500 

17900 

 21900 

    STYLING		 1 Issue 2525   2875   3375  
1-year subscription 2 Issues 4725   5425   6425  
2-years subscription 4 Issues 9450 10850 12850

     BAGS		 1 Issue 2100 2425 2925
1-year subscription 2 Issues 4050 4650 5650
2-years subscription 4 Issues 7825 9225 11225
1 Issue 2525 2875 3375
1-year subscription 4 Issues 9450 10850 12850
2-years subscription 8 Issues 18525 20925 24925
1 Issue 2525 2875 3375
1-year subscription 4 Issues 9450 10850 12850
2-years subscription 8 Issues 18525 20925 24925
1 Issue 2525 2875 3375
1-year subscription 4 Issues 9450 10850 12850
2-years subscription 8 Issues 18525 20925 24925
1 Issue 2525   2875   3375  
1-year subscription 2 Issues 4725   5425   6425  
2-years subscription 4 Issues 9450 10850 12850

Company Name (Capitals):

Business Activity:

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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