Service Center Registration Form

Name *

First

Last

Manager Phone *

Technician Phone *

Category *

• Air Cooler
• Led TV
• Washing Machine

Email *

Address *

Address Line 1

City

State / Province / Region

Postal Code

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Area Covered *

Aadhar Card *

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Pan Card *

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GSTYesNo

GST Number

Firm GST

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Cancelled Cheque/Account Number

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Submit