Planet Goa.

Cheque / DD Payment

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Cheque / DD should be drawn in favor of M/s. Planet-Media payable at Panaji, Goa. Send the Cheque / DD to

M/s. Planet Media, 5B / 4 UG, Models Status, Dona Paula, Panaji Goa - 403004.

Don't forget to write your name behind the Cheque / DD.

Cheque / DD Payment

Bank-Name:
Cheque-or-DD-Amount:
Payment-for?:
Contact-Number:
Pin-Code:
Country:
State:
Address:
Your-Name:
Email:
Comments:
Cheque-or-DD-Date:
Cheque-or-DD-Number:

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