You are on page 1of 1

::..Click2Redeem - Gift Claim Form..

::

http://www.click2redeem.com/PrintInvoice_G.asp

Please courier printout of this claim form along-with Original Scratch Card, photocopy of Product Invoice & Rs.100/- by at par cheque/dd towards handling charges to Countrywide Network Pvt. Ltd.
Gift Claim Form: To Countrywide Network Pvt. Ltd. 204, Chiranjeev Tower Opp. Eros Intercontinental Hotel Nehru Place, New Delhi-110019 (India) Phone: 011-41608645,46,47,48 (From 10am to 6pm, Mon to Sat) Date of Printing: 31-10-2011 My Details sagar mishra(Male/30) 106 near laxminagar water tank above sagar glass laxminagar Nagpur Maharashtra (440022) Phone: 9890887626, , smishra82@rocketmail.com

Redemption Code: WIPRO_SNW/1483/50910


My Payment Details are DD No. Bank Name 085002 idbi DD Date 31-Oct-2011 DD Amount Branch 100 dharampeth

Signature & Date

1 of 1

10/31/2011 1:42 PM

You might also like