ORDER FORM

activity
LAB

Date: _________________

To,
Mexus Education,
Mumbai

We would like to confirm our order for Iken Activity lab, as listed below:

MRP Discount Offer Price Qty. Amount

IAL Kit – Grade IV

IAL Kit – Grade V

IAL Kit – Grade VI

IAL Kit – Grade VII

IAL Kit – Grade VIII

IAL Kit – Grade IX

Total:

The contact details and payment details are detailed overleaf.

Thank you!

Mexus Signatory School Signatory

Mexus Education Pvt. Ltd. 601-612 – Midas| Sahar Plaza| MV Road | Andheri (E) – 400 059 | Mumbai | India
Phone: +1800 300 12244 | Email: info@mexuseducation.com
 activity
LAB
CUSTOMER DETAILS
Order No.:

Name of School: Customer Code:

Address:

City:

State: Pin Code:

Contact Person:

Contact No.: Email ID:

PAYMENT DETAILS
Gross order Value:
Sr.No. BANK NAME BRANCH Chq. No. Chq. Date Amount

TOTAL

Balance Amount:
I hereby declare that I am issuing this cheque as per order form

TERMS & CONDITIONS

n Order must be completed and received in writing in order to be processed.
n Payment must accompany order.
n Order processing and delivery of material may take 7-15 days.
n Order modifications and upgrades must be informed to our customer service help line + 1800 300 12244.

OFFICE USE
Date.:

Name of TBM: Name of TAM:

SBU Head: SSBU Head:

Remarks:

Mexus Education Pvt. Ltd. 601-612 – Midas| Sahar Plaza| MV Road | Andheri (E) – 400 059 | Mumbai | India
Phone: +1800 300 12244 | Email: info@mexuseducation.com