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BHAVAN'S ONLINE BOOKSTORE

Life Membership/Life Subscriber Form

I would like to enroll myself as a Life Member & Life-Subscriber for the periodical indicated below. Please note that the duration of Life Member/Life Subscriber is for a period of 20 years.
Full Name*
Date of birth*
Phone/Mobile*
Email*
Periodical Opted*
Postal Address*
State*
Pincode*
Country*

* These Fields are mandatory