SuccessCDs Order Form

Please fill in all the details correctly with a valid email id
   
   
Name :
   
House No. Street
   
Locality
   
City :
   
State :
   
PIN  CODE :
   
Tel No. & Mobile No.:
 We call on this No. for Order Confirmation  
Email :
   
CD for :
   
Delivery  & Payment Mode
FOR VPP (Cash on Delivery)-Postal Dept Charges Rs.80/- ( Delivery within 4 to 5 days from the date of dispatch) . For Immediate Dispatch Please Confirm your order by sending SMS/ Email with Name, City & CD Name to 09417401770 /Email to successcds@gmail.com For Payment through Demand Draft/ Money Order HDFC Deposit . CD will be sent through Courier on Receipt of Payment. Courier Charges Rs.50/- extra
 
   
   
   
   

Incase you are facing any problems with this form, Kindly send us a mailsuccesscds@gmail.com or call /SMS at Mobile : +91 9417401770