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Order Form

* Mandatory Fields
* Name :
*Address :
 Phone No :
* Mobile No :

* Email :

* Delivery Address :
 Delivery Address Phone No :
* Delivery Address Mobile No :

 Product Code:
* Product Description
* Quantity
* Comments :
 

Download the order form, print it, complete the details and courier it to the following address:

ADL Neurotech

D5, Ceebros garden, Old no.76/New no.14,

Kamaraj salai, RA puram,

Chennai - 600 028.

Terms Conditions

  • 100% payment in Advance

  • Cheque DD. in Favour of ADL Neurotech

  • Delivery Period 6 to 8 weeks

  • Freight charges extra

Payment Options

Send your payments either through DD / Cheque / Electronic bank transfer in the name of  ADL NEUROTECH.

Bank Name

: Indian Overseas Bank

Branch Name

: Apollo Hospital branch

Current Account No

: 167502000000086

Acc. Name

: ADL NEUROTECH