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Subscription Rates: (Select one of the schemes)
Duration Issues Subscription Amount in INR Discount( %) Amount to be Paid in INR Select Scheme
5 YEARS 60 9000 30% 6300
3 YEARS 36 5400 25% 4050
1 YEAR 12 1800 10% 1620
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Payment Option:

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Enclosed cheque/DD No*:


Dated(dd-mm-yyyy)*:


for Rs*:


Drawn on Bank*:

Favouring Jasubhai Media Pvt Ltd A/C - CEW (Please add Rs.50/- for non-Mumbai cheques.)

Charge my:

  • Master Card
  • VISA
  • AMEX

Credit Card No*:

Expiry Date(dd-mm-yyyy)*:

Date of Birth(dd-mm-yyyy)*:

Name on the Card*:

Date:

If you face any problems, please contact us at dilip_parab@jasubhai.com or call us at
(022) 40373636 Ext: 40373620

Please fill the form below

Subscription Rates: (Select one of the schemes)
Duration Issues Subscription Amount in INR Discount( %) Amount to be Paid in INR Select Scheme
5 YEARS 60 9000 30% 6300
3 YEARS 36 5400 25% 4050
1 YEAR 12 1800 10% 1620
Personal Details: (Fields marked with '*' are mandatory)

Order ID*:

Subscription Code*:

First Name*:

Last Name*:

Designation:

Company:

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Address2:

City*:

Zip/Postcode*:

State*:

Country*:

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Mobile Number:

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Email*:

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(Case Sensitive)*:

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If you face any problems, please contact us at dilip_parab@jasubhai.com or call us at
(022) 40373636 Ext: 40373620