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MEMBERSHIP FORM (If necessary, you can print the form and send alongwith payment)
Please fill-up the form (all columns) and pay the requisite fee through your preferred payment mode (Credit Card / Internet Banking / PayPal / Demand Draft / Delhi Cheque / Deposit cash or local cheque in any branch of HDFC or ICICI Bank / Pay Cash at Delhi Office / Wire Transfer / Cashier's Check etc. ) Service starts within 24 hours of receiving payment (for all modes of payment except local cheque)
*Columns marked with are Required. IMPORTANT: Please Do not use all UPPERCASE**

* Name
*Organization
* Address Line 1
Address Line 2
* City
* State
* Country
* Postal Code
* Phone Number	(e.g. 91-11-26961886)
Fax Number	(e.g. 1-202-5079281)
* Main Email Address
* Alternative Email
Home Page
* Category1	Help Me
* Category2	Help Me
*Category3	Help Me

MEMBERSHIP OPTIONS

Member	Rs.4990/- (USD 109)
Member Plus	Rs.5990/- (USD 129)
Member Premium	Rs.8990/- (USD 199)
Member Gold	Rs.12990/- (USD 289)
Member Platinum	Rs.19990/- (USD 449)
Member Diamond	Rs.39990/- (USD 899)
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Note:

All services are for one year from the date of receipt of Membership Fee
Membership fee includes all (domain name registration, web-space, taxes - wherever applicable)
USD = US Dollar
Rs. = Indian Rupees
Price in US Dollar is based on current conversion rate. It may change slightly if paying through credit card (depending upon conversion rate)
Members in Diamond Level need to pay through bank draft / cheque. We regret, credit card is not acceptable for this Membership level

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If you have selected payment method as Demand Draft, Cheque or Cashier's check, please make it in favour of 'Ace InfoBanc Private Limited', payable in Delhi and courier it to

Ace InfoBanc Private Limited
Konark Apartment, 3rd Floor
7-C Katwaria Sarai
(Opp C-Block DDA Flats, Qutab Enclave Phase I,
Above Punjabi Store)
New Delhi - 110 016. INDIA
Tel: 91-11-26961886 / 26866235 / 26851944

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