| Please
fill in the following details in block letters only. |
| |
|
|
| |
| Name
of Parent/Guardian |
|
|
| |
| Date
of Birth |
|
(dd/mm/yyyy) |
|
| |
|
|
| |
| Address |
|
| |
|
| City |
|
| State |
|
| Country |
|
| Pin |
|
| Phone
No. |
|
| E-mail |
|
| School Name
|
|
|
| |
| Are
you a member of Netfundu.com? |
|
|
| Are
you renewing your subscription? |
|
|
| If
yes, please write your Subscriber Number |
|
|
| If
you do not have a subscriber number, leave it blank. |
| |
| Option
Chosen (tick any one): |
| |
|
Special
Offer
Pay Rs. 375/- for 12 issues
Plus get free Fundu Watch
|
|
(You
pay Rs 375/- (for India) / Rs. 2500 (for outside India) |
| |
|
|
|
| 1) |
Pay
Rs. 500/- for 12 issues Plus get free gifts
Netfundu Platinum Membership Card, 20 Personalised
Letterheads, 20 Visiting Cards, Fundu Magic Book with
Playing Cards. |
|
(You
pay Rs. 500/-) |
| |
|
|
|
| 2) |
Pay
Rs. 400/- for 12 issues Plus get free gifts
20 Personalised Letterheads and 20 Visiting Cards |
|
(You
pay Rs. 400/-) |
|
|
|
|
| 3) |
Pay
Rs. 300/- for 12 issues Plus get free gift
Fundu Stationary Pouch |
|
(You
pay Rs. 300/-) |
|
|
|
|
| 4) |
Special
offer for Overseas Subscribers
12 issues Plus get free gift
20 Personalised Letterheads & 20 Visiting Cards
|
|
(You
pay Rs. 2500/- /
US $ 50) |
|
| |
| Payment
Details: Enclosed is Cheque*/ Demand Draft* No. |
|
|
| |
|
|
| |
| Or
please charge my Parent's |
|
Guardian's |
|
Credit
Card |
|
| |
|
|
| |
|
|
| |
| Card
Member's Name |
|
|
| |
| Card
Expiry Date |
|
(dd/mm/yyyy) |
|
| |
| |
| Card
Member's Signature ________________________________ |
| |
*
All Cheques/DDs should be payable at Delhi drawn in favour of
'Net Set Go Solutions Pvt Ltd.' Payment by cheque is
valid only for residents of the following cities (if you do
not live in any of these cities, please pay only through a Demand
Draft): Ahmedabad, Akola, Amravati, Amritsar, Ankleshwar, Aurangabad,
Bangalore, Bharuch, Bhopal, Bhubaneswar, Calcutta, Calicut,
Chandigarh, Chennai, Chiplun, Coimbatore, Dehradun, Dewas, Dhule,
Faridabad, Ghaziabad, Gurgaon, Guwahati, Gwalior, Haryana, Hosur,
Hubli, Hyderabad, Indore, Jaipur, Jalandhar, Jalgaon, Jamshedpur,
Jodhpur, Kanpur, Khanna, Kochi, Kolhapur, Kota, Kottayam, Lucknow,
Ludhiana, Madurai, Mohali, Mumbai, Mysore, Nagercoil, Nagpur,
Nashik, Navi Mumbai, New Delhi, New Panvel (Dist. Raigad), Noida,
Panaji, Goa, Patiala, Patna, Pithampur, Pune, Raipur, Rajkot,
Salem, Sangli, Satara, Secunderabad, Solapur, Surat, Thane,
Thiruvananthapuram, Tiruchirapalli, Udaipur, Vadodara, Vapi,
Virar (W), Visakhapatnam, Yavatmal.
Please
write your Parent/ Guardian's name at the back of the Cheque
/DD along with your name (My Name, Parent / Guardian's Name
and address).
|
| |
| I
agree with the terms and conditions of the offer. |
| |
| |
| Signature
(Parent/ Guardian) |
| |
| |
Mail
your Subscription Form to: Net Set Go Solutions Pvt Ltd, Post
Box Number 7338, PO Srinivaspuri,
New Delhi - 65. |
|