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laxmi Lifestyle : laxmi industrial estate, Mumbai, India

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Laxmi Industrial Estate Mumbai, India

Member Registration


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Company Name *
PAN (Business) *
Shop Name (for public view)*
First Name *
Middle Name
Last Name *
Mobile No.*
Phone No. (for public view)*
+91 22

Other Phone No.
Assistant Name
Assistant Phone
E-mail *
E-mail 2 (for public view) *
E-mail 3
Shop No. (for public view)* Laxmi Industrial Estate, New Link Road Andheri (W), Mumbai - 53
Web Address (for public view)* Warning: Undefined variable $formValues in /home1/laxmilif/public_html/registration.php on line 245

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/> e.g. https://www.laxmilifestyle.in
Description (for public view)* Please do not copy paste from word document or any other web site it may introduce unwanted characters. use notepad or type directly into box.
Product Items (for search purpose)* Use comma (,) to separate product items
I accept Terms & Conditions
Type in the code from the picture *        
* Denotes Required Fields