Order Form

To,

Naldehra Expo Building Centre,

1370, Sector-29, HIG Flats,
Housing Board Colony,
Faridabad-121008
Haryana, India
Phone no.: +91-129 4048 913
Mobile: +91 9311330023, 9311330025
Fax: +/912,
Email: soyaindia@yahoo.co.in

Note : Stars (*) are mandatory.

Dear Sir,

Soya Milk Maker Model ASP 150 (Rs.5700/-) Nos. & / Or Model ASS 140 (Rs.5900/-) Nos.

Customer Details:
(Please ensure you give us phone no. & delivery address where there is someone to sign for the parcel against the production of Proof Of Identity. Please use BLOCK LETTERS. )

Delivery Address:
(Please write the delivery address if different)

Mr./Ms. *:

Address1 *:

Address2.:

City *:

State:

Phone No(R) :

(O)

Mobile No. :

Email :

THE PAYMENT PARTICULARS ARE*:

RT GS / TT DD Cheque at Par M.O

Cheque/DD number Drawn on Bank Dated

Rs. (In words) Rs. (In numbers)

» Favouring Naldehra Expo Building Centre, payable at Faridabad, Haryana.(Cheque/Draft payable at par only) will be accepted. For cash/RTGS deposit the amount in Oriental Bank Of Commerce, Sarai Khwaja, Faridabad, Account no. 00621011000966, Branch Code ORBC0100062, and copy of cash deposit receipt / transfer details should accompany the order form.

(I/We agree with the terms & conditions of warranty)