 |
| Order Form | ||||
Item Details |
||||
Item Name |
: |
|
||
Pack |
: |
Quantity |
||
| Contact Details | ||||
| Your Name | : |
|||
| Your Organisation | : |
|||
| Your Designation | ||||
| Your E-Mail ID | ||||
| Your Address / Phone no. | ( Enter the address to which the product will be Despatched ) |
|||
| Payment Details | ||||
| By Cheque By Draft | ||||
| Cheque/Draft No | : | Dated | ||
| Draft is Payable at Bhubaneswar, Orissa, India. The Items(s) will be despatched ONLY AFTER receipt and realisation of Cheque/Draft. |
||||
| You can E-mail us | The Item code for more information/price. | |||
| omfed@yahoo.com omfed@sancharnet.in |
||||
|
||||
|
|