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Executive Secretary, Date :

IESL. IESL Membership No. :



Please accept my subscription payment of Rs.made as follows.

Cash payment at Bank of Ceylon(Copy of the Payment slip attached)
Branch : Date of Payment :

Cheque posted to IESL ( attached)
Branch: Cheque No : Bank :

Credit Card (Credit Card payment slip attached)

NOTE: Please post/handover this slip to the Institution for the issue of the receipt for your payment.

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