publications-inquiry-form

Page 1

Publications Form Require Publications as E-version (Soft Copy) Paper Version (Hard Copy)

Personal Details (Mr. Mrs. Miss. Ms) First Name

(Middle Name)

(Last Name)

Address: (City)

(State)

Country

(Postal Code)

Email Add:

Phone

Names of Publications Required

S.No

Books

Audio CDs

Video CDs

1 2 3 4 *Additional Shipping charges of Rs. 150/- are applicable Total Amount: _______ (Including Shipping Charges) Select a payment method Cheque

Demand Drafts

Cash

 Cheque/DD to be drawn in favour of “Sahitya Prakashan” and mailed to Veerayatan Rajgir, District Nalanda, Bihar - 803 116 India # 06112 255013/ 255338  Cash should ONLY be deposited at Veerayatan, Rajgir  Payments made through Demand Draft or Cheque will commence upon successful transfer of money into the account.  Please allow 2-4 weeks for delivery of the publications. Payment would not be considered if sent without this form. Date:

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Name & Signature of Subscriber

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