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Request for Buying CD - Full Version for 2 year

   
*Name:
*Address-1:
*Address-2:
*Postal PIN:
*Telephone (with STD code):
Mobile (Optional):
*Personal Email:
*Student Name:
*Student of (Class):
Product:
*Drive Type? (CD or DVD)
Quantity:
Amount in Rs:
*Mode of Payment:
*Cheque/DD Number:
*Cheque/DD/Cash Date:
*Name of the Bank and Branch:
*Address of the Bank:
   
Payment information:

For Bank Draft:
Pay to the order of:  Learning Accord Pvt Ltd, payable at Kolkata
Mail at: 33, CR Avenue, 1st Floor, Kolkata 700 012

Pay to the order of:   Learning Accord Pvt Ltd, payable at Bangalore
Mail at: 79/3, Nandidurga Road, Benson Town, Bangalore 560 046

For Money Transfer (Bank to Bank)
Kolkata: Canara Bank (Laketown Branch)
A/C:2692201005407 and RTGS No. CNRB0002692

Bangalore: Indian Bank (Benson Town Branch)
A/C:412265007 and RTGS No. IDIB000B041

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