JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Stuck in Traffic Metal Pin : Order Request
After you fill out this order request, I will mail you the tracking details once I've shipped the pin.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
How many pins would you like to purchase?
*
Choose
1
2
3
4
5
Contact info:
The pin will be shipped to this address.
Price per pin:
₹ 799/-
Your name
*
Your answer
Phone number
*
Your answer
Postal address
*
Your answer
Pin Code
*
Your answer
E-mail
*
Your answer
Notes :
Your answer
Please select your preferred transaction method (NOTE - Unfortunately we can't do COD at the moment)
*
You can email at
moulikdebangshu@gmail.com
for further details
UPI
Netbanking (We will mail you the payment link on the registered mail address)
Other:
If you are using UPI, you can transfer the amount on " moulikdebangshu@oksbi ". Or you can scan the code.
Please enter the transaction ID below once completed.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms