Order Form
Name................................................................................................................................... Mailing Address......................................................................................................................................................City.............................................................................................State..................................................Pin Code........................................................Tel./Mobile.............................................Email...............................................................................................Payment should be in favour of LIFE POSITIVE PVT. LTDPrice............................. Shipping................................... Total................................. Qty................................. Amount..........................................DD/MO/Cheque..........................................................................................Bank.................................................................................................................Cash on delivery available at extra cost (as applicable) in limited cities or you can order by VPP.195 40 235