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Application form
for Sumangali Membership in India

I want to become Browsing Member and access Matriomonial listings with contact particulars.
Name:
Address:
Phone:
Email address:
User Name:
Password:

I want to become member for
3 months   - Rs. 299
6 months - Rs. 549
12 months - Rs. 999

I am sending payment by
Draft
Cheque
Money Order

Payment Details.
Bankers Name:
Branch, City:
Cheque/DD Number:

Please take a printout of this form. Enclose your above mentioned Cheque/Draft drawn on Dhirga Sumangali Bhava and mail it to below address.

M/s.Dhirga Sumangali Bhava,
46, SIDCO Industrial Estate, Coimbatore 641 021. Tamil Nadu, India.
Phone: 0422-672857, 672557, 677652

Soon after the receipt of the above payment, you will be informed by email your password for accessing the member's full particulars.

 
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