Mail Your Order
 Print out the following order form
Mail it to our collection Agency:

To,
Vikas Deshwal
Plot No-781, Krishna Vihar, Behind Radha Krishna public school, Lal Kuan, Ghaziabad (U.P.) INDIA
Landmark : Near Police chauki, Lal Kuan, Ghaziabad

(Please do not write anything else on the postal address)

PRODUCTS

 India Based Orders
    Height Growth  3 Months Package

INR-2500/
    Height Growth  6 Months Package INR-4500/
            Kaamdeva 15 Capsules package Capsules INR- 1500/-
        Vagina-X  Vaginal Contractor and Toner INR-/1200/-
        Herbal Hair drops 45 days package Hair Re-growth Solution Rs-2100/
         Breastone  Breast Enhancer & Toner Rs-1200/
       Pielocure  Piles, Fistula, Moles  Problem   Rs-1000/
     Face pack Acne, pimples and face Problem Soln  Rs-800/

  Please Tick on the selected Product from the above mentioned List 

IMPORTANT NOTE:  Please make order  in favor of  M/S. New Edge Techniques A/c-no 10631-667790 Payable at State Bank of  India, Maharajpur, Ghaziabad (U.P.)  India.  Branch code no- 3066.  

Please, Send me ............................................................................(Name of the Product)
Quantity
                *  ( Specifies optional )

Name:                                                        _______________________________________

Email:                                                        _______________________________________
* Company:                                               _______________________________________
Permanent Address:                                 _______________________________________
City:                                                           _______________________________________
State/Province:                                         _______________________________________
Country:                                                    _______________________________________
Zip/Postal Code:                                      _______________________________________
* Phone:                                                   _______ - _______- ____________

Please check  the appropriate category through which transaction is desired :

Payment Mode:

     Demand Draft / Pay Order / Money Order    Payable at Par Cheque Enclosed 
     
  Demand Draft/Payable at par Cheque/ Pay Order/ Money Order no #_________________________ 
 

 Total Amount Send#                                                                                                             Signature:

IMPORTANT NOTE:  Please make order  in favor of  M/S. New Edge Techniques A/c-no 10631-667790 Payable at State Bank of  India, Maharajpur, Ghaziabad (U.P.)  India.  Branch code no- 3066.  

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