REF: Activities : Publications

* Mandatory Fields

*First Name:

*Last Name:

*Address:

*City:

*State :

*Pin Code:

E-mail :

*Contact Tel. No. :

Mobile No. :

Payment Mode :

Credit Card*
[Please see instructions below]

If paying by DD,
Demand Draft No:
Date:
Bank:
Amount:	Rs.

*Credit Card payment: REF is pleased to announce that we now accept national and international credit cards! The transaction is secure (you will see the url begin with 'https') and done through ICICI and its agent www.ccavenue.com. The charge on the credit card statement will say www.ccavenue.com. After you select credit card and click on Submit, you will be redirected to the ccavenue /ICICI site. Please fill up details and follow instructions - the steps are easy. As soon as we get intimation about your payment, you will be issued the registration number by email, and this will serve as your receipt.

To pay by Demand Draft please print the form, fill it up with the relevant details and mail it to the REF address. Please write your name on the reverse of the DD. Please fill in the following:
DD No:
Date:
Bank:
Amount :