Nirvig : Membership registration

Salutation *

Your Name *

Date of Birth (DD/MM/YYYY)

Address

City *

State

Country

Nirvig Business Solutions

Please fill in the below form to enroll yourself as a member to subscribe our services

Postal Identification Number *

Phone (with STD code)

Mobile *

E-Mail address  *

Your Company / Firm Name

Nature of subscriber *

Nature of business

Membership domain *

Subscription period *

Mention here any other message or information you want to supply

I understood and agree to the terms and conditions for this membership / product / service subscription *

Subscription fee payment mode *

Cash

Cheque / DD

Online transfer

Free

Level of subscription *

Text Box: Important Notes
All the fields marked with ‘*’ are mandatory.
Your membership number will be sent to your E-Mail address immediately.
Online login access will be enabled automatically upon receipt of subscription payment.
Do not share your login credentials with anybody else.
Make your subscription payment only after receipt of your membership number.
All the payments must be in favor of “M/s. NIRVIG BUSINESS SOLUTIONS” payable at CHENNAI only.
Nirvig is not responsible for any payment lost in transit.
Check your invite email to know the exact fee due for your subscription.
Write to info@nirvig.com for any clarifications you may require.

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