Powermat Order Form
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Powermat/s to me.
I am sending US$
by Demand Draft or International Money
Order to the Payee
at the address shown at the bottom of this page.
I am paying by credit card (please see below)
( Note: If you are a resident of India, you need not send any money now.Your order
will be executed by Value Payable by Post (V.P.P.) )
My mailing address is: Name Street Area City State Zipcode Country As soon as you recieve my order please inform me by e-mail. My e-mail address is: (Privacy Statement: Information supplied by you will not be transferred to any third party)
Payment by Credit Card
The payment indicated above is basic price+credit card transaction cost+shipping cost(Business Express)
I know that if I do not feel any change in me within a week I will get a full refund minus shipping charges if I return the Powermat to the return address below.
PAYMENT & RETURN ADDRESS:
(All payments (except credit card payments) are to be made to the payee named below by Demand Draft
or International Money Order)
27 Nayatoli Lane,
Old Hazaribagh Road,
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