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Print / write legibly in Ink, fill the particulars and post this form.

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Indiadiets Consultant (Tick the one you prefer): 1 year / 2 years / 3 years / 4 years

Payment Particulars:

To order, mail an account payee Cheque / Demand Draft / Pay Order (of an amount as specified against the Options below that you are interested in)

In favour of: Indiadiets.com	Addressed to:	Indiadiets.com, D-II, C-35 Moti Bagh - I New Delhi, INDIA
Payable at: New Delhi, India

Mail Payment Options

Yearly Authorized Consultant Royalty fees	INR 3000	US $ 65
Yearly page hosting charges	INR 2000	US $ 45
Annual Charges =	INR 5000 /- only	US $ 155
One time Registration Charges	INR 2000	US $ 45
For 1st year TOTAL Charges =	INR 7000 /- only	US $ 155
02 year option Amount Payable Lumpsum (with discount) =	INR 11000 /- only	US $ 245
03 year option Amount Payable Lumpsum (with discount) =	INR 16000 /- only	US $ 355
04 year option Amount Payable Lumpsum (with discount) =	INR 21000 /- only	US $ 465

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