IndNet.Net Order Form for Indian ClientsKindly print out this page, attach the DD and send it by courier. To Subhendu Sen IndNet.Net B24 Suryakiran Society 368 Senapati Bapat Marg Mahim (W) Mumbai 400016 Maharashtra India Sir, I/we take pleasure to order/renew for (tick appropriate): __ 25MB Web Host with 250MB Traffic/month* (Rs 2,500/year) __ 25MB Web Host with 500MB Traffic/month* (Rs 3,000/year) __ 25MB Web Host with 1000MB Traffic/month* (Rs 3,600/year) __ 50MB Web Host with 1000MB Traffic/month* (Rs 5,000/year) __ 100MB Web Host with 2000MB Traffic/month* (Rs 10,000/year) *Addtional Traffic Rs.100/100MB/month The following are the details about me/us : Contact Person : _____________________________________________________________ Name of the Organisation (Individuals put your name) : _____________________________________________________________ Full Postal Address : _____________________________________________________________ _____________________________________________________________ City, State, Pincode, Country : ___________________ ____________________ ____________ India Telephone (With STD Code): _____ _________________ Fax (With STD Code) : ____ __________________ Email Address : ________________________________________________ Domain name : _______________________________________ The following are the payment details : DD No. ________________________ dated ________________ for Rs ________________ in favour of IndNet payable at Mumbai. I/We hereby confirm that I/we have read your terms & conditions and agree to abide by those. Kindly set-up my account and let me/us know the details at the earliest. Thanking you, Yours faithfully, _____________________________ (Signed by: ____________________) Enclo: _________________________________________ |