eHEALTH-May-2011-[44]-Magazine Subscription

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Subscription Order Card Duration (Year)

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*Please make cheque/dd in favour of Elets Technomedia Pvt. Ltd., payable at New Delhi

Three easy ways to subscribe: Web : Fax : Post :

Log on to http://www.ehealthonline.org/publication.asp and submit the subscription form online. Complete the information on the card and fax it to +91-120-2500060 Mail the form along with the cheque to : eHealth magazine Elets Technomedia Pvt. Ltd. G-4 Sector-39, Noida 201 301, U.P. India Tel +91-120-250 2180 to 85 Fax +91-120-2500060 e-mail : subscription@elets.in, Web : www.ehealthonline.org

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Please fill this form in Capital Letters First Name..................................................................................... Last Name...................................................................................................... Designation/Profession . ................................................................ Organisation ................................................................................................. Mailing address .................................................................................................................................................................................................... City .............................................................................................. Postal code . .................................................................................................. State . ........................................................................................... Country . ....................................................................................................... Telephone...................................................................................... Fax ................................................................................................................ Email ............................................................................................ Website . ....................................................................................................... I/We would like to subscribe for

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I am enclosing a cheque/DD No. ................................................ Drawn on ..................................................................................... (Specify Bank) Dated ............................................................................................................... in favour of Elets Technomedia Pvt. Ltd., payable at New Delhi. For `/US $ ...................................................................................................................................................................................................... only Subscription Terms & Conditions: Payments for mailed subscriptions are only accepted via cheque or demand draft • Cash payments may be made in person • Please add `50 for outstation cheque • Allow four weeks for processing of your subscription • International subscription is inclusive of postal charges.

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