medisourceasia.com logo

 


Order Form - For Delivery Destinations Within India

 

"Biomedical Technology -Tips & Techniques" is priced at Rs. 225/-. (Rs. 175 + Rs. 50/- only for mail order). Delivery period for Ahmedabad / at par cheques : one week from the date of receipt of the order. Outstation cheques : 2 to 3 weeks from the date of receipt of the order. Kindly fill up the following form and mail to:


Business Development Executive

Classic Computer Services

B-4, Mandir Apt., Opp. P & T Colony ,

Jodhpur Char Rasta, Ahmedabad - 380015.

India.

Phone: +91-79-26740611 E-Mail: sales@medisourceasia.com

 

Yes. /_/ I would like to buy _________ copy/ies. ( Please indicate no. of copies )

 

Name: ______________________________________________________________

Company:___________________________________________________________

Address:____________________________________________________________
 

             ____________________________________________________________

City: ____________ Pin Code:__________State:__________Country: India

Phone:________________Fax:_______________E-Mail:_____________________

Payment :

Enclosed is my DD/cheque in favour of "Classic Computer Services" payable at Ahmedabad.

DD/Cheque No:_______________Date:___________Amount Rs. _____________

Bank: _______________________Branch/Address:________________________

         _______________________________________________________________

 

Signature:_________________________