SUBSCRIPTION FORM by wfFNlc0

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									                                  SUBSCRIPTION FORM

                             FOR INDIAN JOURNAL OF TUBERCULOSIS


The Secretary General,
Tuberculosis Association of India,
3, Red Cross Road,
New Delhi-110 001.

         Please enroll me/us for subscription to the Indian Journal of Tuberculosis for the year 2012
(Vol.59). I am/we are sending herewith a cheque/demand draft/M.O. for Rs. 800/-, foreign subscription of
US $ 30 (for SAARC Countries), US $ 35 (for South East Asian & .Eastern Countries) and US $ 40 (for
other countries).



Name _____________________________                                                  ______________________
                                                                                            (Signature)



Mailing Address:            __________________________________

                            __________________________________

                            __________________________________

Tel./Mob. Nos.:             __________________________________

E-mail ID:                  __________________________________




    1.    Please note that under any circumstances, subscription, once remitted, will not be refunded /
          adjusted in any manner whatsoever.

    2.    Subscription term policy followed            (i) We enroll subscribers from volume
                                                           to volume only. Every new volume
                                                           commences with January issue

                                                       (II) Upon receipt of payment


     3.   Please write pin code, phone number and e-mail ID in your mailing address.

     4.   Demand Draft/Cheque should be drawn in favour of ‘Tuberculosis Association of India’.

     5.   Please add Rs.50/- as collection charges in case of outstation cheques.

								
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