Order form

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

To,
Mr.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	Package	Price INR
Height Growth System	3 months	3000/-
Height Growth system	6 months	5000/-
Height Growth system	9 months	7000/-
Breast Firming Massage Oil	45 days	2500/-
Breast Firming Massage Oil	90 days	4500/-
Breast Firming Massage Oil	120 days	6500/-
Herbal Vagina Tightener	45 days	2000/-
Herbal Vagina Tightener	90 days	3500/-
Herbal Acne & Pimples Solution	45 days	1200/-
Herbal Acne & Pimples Solution	90 days	2000/-
Herbal Supplement for Blood Sugar	45 days	1100/-
Herbal Supplement for Blood Sugar	90 days	1800/-
Hair Loss Treatment	45 days	2400/-
Hair Loss Treatment	90 days	4200/-
Hair Loss Treatment	120 days	6700/-
Herbal instant Sex Enhancer Male / Female	15 Pills / Box	1500/-
Herbal instant Sex Enhancer Male / Female	30 pills/Box	2600/-
Herbal memory enhancer	45 days	1200/-
Herbal memory enhancer	90 days	1900/-
Memory enhancer & Immunity promoter	45 days	2100/-
Memory enhancer & Immunity promoter	90 days	3900/-
Weight loss system	45 days	2200/-
Weight loss system	90 days	3800/-
Weight loss system	120 days	6000/-

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

Name:

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Email:

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Shipping Address:

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City:

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State/Province:

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Country:

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Zip/Postal Code:

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Phone:

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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 #______________
	Date 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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