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| Print
/ write legibly in Ink, fill the particulars and post this form. |
|
| Name: |
| Email: |
| Phone
(Optional): |
| 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
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|
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| 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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For making Payments Online  |
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