Products Order Form
Questions marked by * are required.
1.
Name of Product Ordered *
-
Liquid Organic Manure Concentrate
Cow Milk Booster Concentrate
2.
Packing Quantity *
-
40ml
7.5ml
3.
No. of Bottles required *
4.
Amount intended to be paid *
5.
Desired mode of Payment *
-
Cash
Through Bank Transfer
PhonePay
online Payment
Google Pay
other mode
6.
Your Name *
7.
Email:
8.
Full Postal Address with Pin Code *
9.
Mobile/Phone Number *
10.
Does service of The Professional Couriers available near your place? *
Yes
No
Not aware
11.
Do you want to become an Agent for Our Products? *
-
Yes
No
No idea
12.
Any other Information/Suggestions *