| Your Contact Information |
| Name |
|
| Address |
|
| Phone Number |
|
| Email (Write clearly) |
|
| Email (Repeat again) |
|
| Product Information |
| Product |
The Dentist's Guide to Overseas Career |
| Format |
eBook (Paper format is not available) |
| Delivery |
Download Link by Email |
| Payment Information |
| You can pay by demand draft or
Money Order or Cheque |
| Draft/ Cheque in favour of |
Latha Chandrasekaran |
| Draft Payable at |
Pondicherry / Chennai |
| Payable Amount |
Rs.895/- (Rupees Eight Hundred Ninety Five Only) |
| Draft Number |
Date: |
| Bank |
|
| Send your order form and payment
to |
Latha Chandrasekaran, Advocate,
27, First Floor, Second Cross,
Rainbow Nagar,
Pondicherry - 605 011 INDIA
Phone:
0-9487 666 222
|
I have read and I agree to the
Terms of Use found
in your website. I understand that
(1) the Guide is an eBook (2) the Guide is not a paper
book and
(3) I will receive my download by email. |
| Your Signature |
Date: |