subscription form

Subscription form
SRD Solutions,
179, Ground floor, DDA Pocket-8, Ph-1,
Sector-12, Dwarka,
New Delhi -110075
Please sign me up for following subscriptions
Current
Subscription no
(IF RENEWAL)
SN MAGAZINE / JOURNAL NAME
TENURE AMOUNT##
1
2
3
4
In case of more magazines. Please attach additional sheet (page 3)
Total
## please refer our website mysubs.in for subscription rates of the magazines
PAYMENT DETAILS: (DD / Cheque OR NEFT – In favour of “SRD Solutions”)
DD / Cheque no
NEFT Ref (UTR No)
Amount **
DD/Chq Date
Amount
Transfer Date
MYSUBS Order No
Order Date
(Ignore if order not not placed yet)
** Please add Rs. 95/- in case of cheque payment OR Rs. 45/- in case of DD payment towards handling and processing
charges OR Rs. 57 for outstation ( outside Delhi ) cash deposit (Refer next page for more details)
BILLING ADDRESS: (* mandatory fileds)
Full Name*
Full Address*
City*
Pin code*
State*
Email*
Phone*
SHIPPING ADDRESS (Leave blank if same as Billing details):
Full Name
Address
City
Pin code
State
Order notes ( if any )
Terms & conditions:
1. The subscribed issues deliveries shall commence in four to six weeks from the date of credit of
subscription amount in our account.
2. Additional terms as mentioned on our website www.mysubs.in shall apply
Date
Signature
Page – 1 of 3
Other Details
1) PAYMENT OPTIONS
a) Pay by Direct transfer using NEFT / RTGS
1. Account no: 33564831621
2. IFSC code: SBIN0011361
3. Bank Name and address
State Bank of India
Branch: EPFO, Sector-23, Dwarka,
Shop No., G-83 to G86/87, Vardhman City Plus
Sector-23, Dwarka
New Delhi
b)Pay by DD/Cheque **
1. In favour of: “SRD Solutions”
2. Send to:
SRD Solutions,
179, Ground floor, DDA Pocket-8, Ph-1,
Sector-12, Dwarka,
New Delhi -110075
3. OR Deposit at nearest SBI Branch
Account no: 33564831621
** Please add Rs. 95/- in case of cheque payment OR Rs. 45/- in case of DD payment
towards handling and processing charges.
c)Pay by Cash - Deposit at nearest SBI Branch ***
1.Account no: 33564831621, Account Name: SRD Solutions
2. Deposited by: Your name (Order Number)
*** Please add Rs. 57/- in case of outstation (Outside Delhi) cash deposit
c) Pay online by Credit Card/Debit Card / Netbanking – visit www. Mysubs.in
STEP1: Select your magazine and “Add to cart”
Repeat STEP 1 for all the magazines you want to buy.
STEP2: Go to “View Cart” review your selections and proceed to “Buy Now”
STEP3: Enter your Billing and Shipping address
STEP4: Choose your payment option and “Place Order”. If required, print your order
for internal approvals.
STEP5: (For payment by DD/Cheque/NEFT)
a) For DD/ Cheque payment: Post us the DD/ Cheque and email the confirmation
b) For NEFT payment: email us the payment details including the UTR number
NOTE: If your payment was unsuccessful after placing the order. Log into your account by
clicking on the link in the welcome mail sent by MYSUBS. Easily make the payment without
the need of entering all the details again using the “PAY” option
2) For any assistance write to us at [email protected] or call on 09971202170 (9am-6pm | Mon-Sat)
3) In case of more magazines. Please attach additional sheet (page 3)
Page – 2 of 3
Additional Sheet
SN MAGAZINE / JOURNAL NAME
Current
Subscription no
(IF RENEWAL)
TENURE
AMOUNT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Total
** please refer our website mysubs.in for subscription rates of the magazines
Page – 3 of 3