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Payment
Please fill in your order and payment details in the boxes below.
Please make your cheque/DD in favour of " Sudha Jain ".
The cheque/DD should be Account Payee and should be payable at Bangalore .
 
Note : Asterix(*) means fields are mandatory !
Order*:  
Name* :  
Email Id* :  
Mobile No :  
Amount* :  

Cheque/DD No. and Date*:

 
Bank Name*:  
Cheque/DD dispatch Details*:  
Bank Transfer Details*: