My Stamp Order Form
My Stamp Order Form
My Stamp Order Form
Order Number : (For Office Use Only Customer : 01.Corporate Customer (Minimum Order 500 Sheets 02. Non Corporate Customer (Please Strikethrough whichever is not applicable)
First Name Middle Name Surname
District Phone Number Email Address ID Proof Date My Stamp Sheet Indian Flowers-ILLY Indian Flowers-DAHELIA Mobile Your e-Mail Name of the ID Proof DD MM YYYY Tick Sheets Number of Sheets
State Home
Per Stamp Sheets My Stamp Sheet Indian Flowers-PANSY Indian Flowers-CINERANIA Tick Sheets Number of Sheets
TOTAL Grand Total Sheet Amount Speed Post / Registered Post Charges Grand Total Amount
TOTAL
(Signature of Customer)
CUT FROM HERE ACKNOWLEDGMENT SLIP Date Order Date Delivery Date (To be fill at the time of delivery) Name Order Number Amount Paid (both in words & figures) Please Collect Your 'My Stamp Sheet' (In case of exhibition ever and counter shifted) Name of the Post Office & Counter First Name Middle Name Surname DD MM YYYY
(Please produce this acknowledgment slip at the time of delivery) Initial of Operator Office Name & Date Seal P.T.O.
05. 06.
Signature of Customer
Name:
Name:
Signature of Customer