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SEEMA INTERNATIONAL ONLINE ORDER FORM

This form is for users with approved accounts. To order, you must include both your account number and your P.I.N. number. For security reasons, we do not ask you for your Credit Cards Numbers or Billing Information over the Internet at this time.

TO OPEN AN ACCOUNT:

If you wish to open an account so you have access to this form, please do one of the following:

1/ Telephone us at: 91-11-2794 1842 / 2794 1869  during regular business hours and set up your account.

2/ Fill out this form and send it to us with the word NEW in the account number field. We will contact you for payment options.

Account ID: PIN: 
Your full name:
Street address:
City + (State or Province)
Country:
Postal Code:
Your e-mail add:
Your phone #:

I wish to order the following products in the following sizes: 

ProductSizePriceQty.

I have read and agreed to the Terms and Conditions 

We will E-mail and/or telephone you back to confirm this order. At that time you will be asked for additional information for payment and shipping options. This is for your protection. 

Note: Please hit "SUBMIT" button only once. Your order will be received by us right away but it may take us 2-3 days to reply. 
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E-mail : jainrajesh@vsnl.com