This order form requests ___ copies of the 2016 Indian Fertilizer Industry Directory from Penz Solutions. It provides the customer's company name, address, phone number, and email. The customer is enclosing a dated DD or cheque for Rs. ______ drawn on ________ Bank as payment according to the applicable rates of Rs. 1000 per copy for 1-9 copies or Rs. 950 per copy for 10 or more copies.