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Subscription Registration Form
We're so excited that you want to subscribe to Polka Pop! Please fill in your details and our team will be in touch asap to set up your subscription.
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Which flavour would you like to subscribe to?
*
Peach
Orange
Cranberry
Lemon-Lime
Ginger
Assorted Flavours (Equal Mix of Peach, Orange, Cranberry & Lemon-Lime)
Make my own combination
How many bottles a month would you like to subscribe to?
*
12
24
48
More than 48
Name
*
Your answer
Mobile Number
*
Your answer
Email ID
*
Your answer
What payment method do you prefer?
*
COD
Credit Card
UPI
When is a good time to call you to confirm your subscription details?
*
Time
:
AM
PM
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