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Application Form for Resellers     Name of the Subscriber* Address Pin code Fax No. Email ID     Contact Details Contact Name Mobile* Email ID Login* Scheme No. of SMSs Rate per SMS#  Validity     50000 2.00 3 months 200000 1.50 6 months 500000 1.25 1 year 40000 1.25 3 months Offer ends on 30/09/2007 100 0.00 15 days Enter Promo Key:  # Service Tax as applicable   * Mandatory Information

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