Miracle Order Form

Miracle 3D Order Form

#	MIRACLE 3D ITEMS	PICTURES CONTAINED			PRICE Rs.	QTY	AMT. Rs.
#	MIRACLE 3D ITEMS	17X10.5"	10.5X8"	7X5"	PRICE Rs.	QTY	AMT. Rs.
a	Book # 1	1	15	13	150
b	Book # 2	1	7	13	100
c	Book # 3	-	15	1	100
d	Book # 4 or 5	-	7	1	75
e	Book # 6	-	3	9	75
f	G.Cards Pack-B			10	135
g	G.Cards Pack-S			4	60
h	Posters Pack		6		100
i	Basic Total Cost Rs.
j	Add Regd. Parcel Postage @ 15% of total cost [Minimum Rs.20/-]
k	If remitting by outstation Cheque *					Yes	No
l	Outstation cheque charge Rs.
m	Net Total Rs.
n	DD/Cheque No.					dt.
o	Favouring MIRACLE 3D payable by(Bank Name)
p	At

FREE 7-DAY TRIAL ORDER FORM [Please skip information you do not wish to disclose. For a catchy slogan you may win a surprise gift.] Yes, send me happiness as shown backside, for a 7-day free trial. If I do not like it I shall return it undamaged and you will refund my entire money, less postage and handling.
Name@:		*
Age[yrs]:
Education:
Occupation:
Tel.No.:
Email:	*
Address for delivery:	*
City:	*
State:	*
Pin:
Please fill in the following if this is a gift.
Gifted by^@:	of
	Relation
I like MIRACLE 3D because


# Offer valid for 40 days. # Post the order form with Crossed A/c Payee DD/Cheque in attached postage-free cover.# By networking with friends you may enlarge your order to earn free gifts. # ^@We shall mail the packet with your compliments *Required