Customer Name*

Customer Mail ID*

Customer Contact No. for Backend to Call*

Alternative contact number*

Business Name*

Address Line 1*

Address Line 2

Address Line 3

City*

State*

Pin Code*

Package Details*
Soft Copy
Review Card
Review Stand
Soft COPY+Card+Stand
Other

If other
Instructions
REVIEW CARD DETAILS:
Google Maps Location Link*
Card Needs
Only Business Name
Only Logo
Both Logo & Business Name
Logo & Owner Name
Business Name & Owner Name (No Logo)
Logo, Business Name & Owner Name
Anyother
Name on Card*
Upload Logo

Profile Photo

Total Package Amount*
Taxation*
With Gst
Without GST
Invoice Name
GST No.
PAN No.
Invoice Address
Mode of Payment
Cheque
Online
Cheque Name
Cheque No.
Bank Name
Cheque Date
On Date
PDC
NA
Online Transaction ID
Registration Date
Upload Selfie*

Cheque Leaf or Online Transaction Screenshot*

Area Name*
BA Name*
BA Email*
BA Code*
BA Pan No.*
Comments
Category*


Thank you for registering with Digitech Solutions for Magical QR services.. We are happy to serve you..
KINDLY NOTE:
Review Cards will reach your location within 21 working days from the date of registration..
No refund shall be given once registration is done.
Kindly call/WhatsApp 8341642002 for any queries in between 10AM TO 6PM.