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MEMBERSHIP FORM
Also valied for Associate Members.

If you are interested in becoming an Associate Member, Please check the last box at the end of this application form otherwise leave black. To know more about Associate Membership, please click here.

(If you feel difficulty in submitting the form , please e-mail us containing your name, contacts and e-mail address for membership as well as your desire to become a member)

List of Members


        We would like to know about the perso who referred you:

        Name of Referrer (If Known otherwise leave blank)



E-mail of Referrer (If Known otherwise leave blank)



Telephone of Referrer (If known otherwise leave blank)



Referrers Special Number (If know otherwise leave blank)


        Please provide the following information about you:

Name
Street Address
City
Country
Work Phone
FAX
E-mail

        Please indicate what interests you from the following list:
          Please select as many as you want
:

Appliance
Computers
Mobiles
Telephones
Furniture
Health
Decorations
Electronic Jewellery
Others

        If other, Please provide details:


        By becoming member you are automatically included into

        subscription list, please indicate how would you like to

        receive your subscription. You may select more than one

        mode


        If other, please describe how?



Please Check this if you want to be our Associate Member.


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19 November, 2002