brightfeathers Inc.
bf house, street no 44,folsom,CA,USA.
phone:001-002-44444, 5655486
email:yjagtap@brightfeathers.com
website: www.brightfeathers.com  


Subscription form & product information for "Store Manager"


 

Note: Please read the instructions carefully before filling up the subscription form
1. Use capital letters to fill up all the text fields.
2. Please Ensure that all the information is factual, since the form will be thoroughly scrutinized.
3. The form should be duly signed in by the concerned person only.

 

First name : ___________________________
Last name : ___________________________
Address : ___________________________
___________________________
___________________________
___________________________
Email : ___________________________
Phone no : ____ - ____ - ____________
Retail Type : ___________________________
Credit card type : Visa     Master      American Express       
Credit card number : ____________________
Expiry date : ____/____/________
Interested in subscribing for ? : Store Manager  Estore    Both
    Signature : ____________________
    dated : ____/____/________