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The Manager (Marketing) Eastern Crescent Patliputra Nagar (Masjid), Oshiwara, New Link Road, Jogeshwari (W), Mumbai-400102 Tel: 022-26771618/26798538, Telefax: 022-26798538


(Please write in BLOCK LETTERS) Post my / our copy to Name: Mr. / Ms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........................................... ........ . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . Phone: . . . . . . . . . . . . . . . . . . . . . Cell . . . . . . . . . . . . . . . . . . Email: . . . . . . . . . . . . . .. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . Subscription No. . . . . . . . . . . . . . . .(Only for old subscribers) Please find enclosed my Cash / Cheque / DD / MO for Rs. . . . . . . . . . . . . . . . . . . . . . . In words . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Only local cheques are acceptable (Mumbi, New Mumbai, Thane, Bhiwandi, Panvel, Titwala & Ambarnath circle.) 'EASTERN CRESCENT’ Payable to Deposit to A/C # 3017951649, IFSC Code: CBIN 0280624 Central Bank of India, Crawford Market Branch, Mumbai-03 Date. . . . . . . . . . . . . . . . . . Signature. . . . . . . . . . . . . . . . . . . Please fill in the Form, cut it and post with payment to: The Circulation Manager Eastern Crescent Patliputra Nagar (Masjid), Oshiwara, New Link Road, Jogeshwari (W), Mumbai-400102 Tel: 022-26771618/26798538 For subscription related enquiry please contact: Aslam Javed Qasmi (Mob. 09773262494, Email: manager@easterncrescent.in

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