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Retailer Registration Form
Retailer Registration Form
Dear Sir,
Please fill in the form and return it by hand, by post or email.
Address:
DM-55, Khayaban-e-Rahat, Street # 34, Phase VI, DHA, Karachi, Pakistan
Tel: +92 (21) 3534 0022-24
Fax: +92 (21) 3535 0393
Email: bookshop@quranacademy.com
Web: www.QuranAcademy.com
Please attach the following documents:
Visiting Card
Owners Copy of CNIC
Company/Shop Name: ___________________________________________________
Company/Shop Address: _________________________________________________
_____________________________________________________________________
Contact Person: ________________________________________________________
Address: ______________________________________________________________
_____________________________________________________________________
Telephone: ________________________
Mobile: ___________________________
Fax: ______________________________
Email: ____________________________
Website: _________________________
What content do you want to sell?
CDs/DVDs
Books
Both
In case of cooperation between your company and Quran Academy, do you want
your contact details to be published on our website?
Yes
No
Date: _____________
___________________
Signature of contact person
__________________
Company Stamp