Cosm os infomedia

(Regd.)
The Home based business development and
research centre

RISK FREE MEMBERSHIP APPLICATION

Yes, I want to start my own profitable mail order business. Please issue me
the home – study course package which includes “ How to start and get rich
in mail order “ + Beginner’s guide + 26 reports + cosmos year card + free
dealership. Also register my name as a member of company and send me all
the guidelines to get started successfully. I have enclosed Rs. 586/- by
demand draft / pay order.

Pay order / Demand draft / Money order number ………………Date

……………

I understand that if I’m not absolutely pleased with what I receive or if I

discover mail order business is not for me, I can return it to you within 10
days for a full refund (excluding the postage, handling and processing
charges which comes to Rs 225) no questions asked.

Free M.O.B. Telephonic Training + FREE Money Making Kit Site

Name: MR/MRS/MS ____________________________________________

ADDRESS: ____________________________________________________

CITY/DIST: ____________________ STATE: _______________________

PIN: ______________________ PHONE: 1) Res : ______________

2) Mob: ______________

PROFESSION/ AGE _______ SIGNATURE ______________ DATE

__________

Email address (optional)

__________________________________________________

How did you come to know about cash37k.com ? (Tick which ever
applicable)
Recieved an Sms Ad in a newspaper Through an email

Note: 1. Money order/ demand draft/pay order must be payable in favour of

cosmos
Infomedia Pvt Ltd payable at Mumbai branch only
2. while preparing Demand draft/ pay order, please write correct spelling
of
 cosmos infomedia
SEND THIS REGISTRATION FORM TO
COSMOS INFOMEDIA PVT. LTD
Cosmos Infomedia Pvt.Ltd. B/49 Station Plaza, Station Road, Bhandup (W) Mumbai 400078
09323333398, 9222761115, 022-40244844 (Time 10.30am to 7.00 pm)

NOTE:
• People from Mumbai thane and vashi are permitted to pay cheque payment Rs. 625/- only )
people from rest of India can pay cheque payment but amount will be Rs. 700/-
strictly.where Rs. 75/- extra are clearance charges taken by bank.
• PLS SEND ORDER FORM BY SPEED POST/ REGISTERED POST OR BY COURIER,
Please don’t sent any courier by DTDC