Distributor’s Form

    For Billing

    For Correspondence if change

    Contact Detail:

    Phone No / Fax No. :

    Your Interest in Segment of Products (Tick Mark only)

    Mansion you’re Preferred Courier and Transport Name

    Against to franchisee deposit we will give you welcome kit (Bag, Visual-Ad,
    Promotion material , Stationery for Promotion )

    Note: 1. This form is applicable for Luckys Pharma and its all Divisions, Terms & Conditions
    which is send by us to you with our Price List.

    luckys pharma phone