TeluguLipi Editor Registration Form

First Name: ____________________________

Last Name: ____________________________

eMail.:________________________________

Company Name (Optional): __________________________________

Mailing Address:

______________________________________________

______________________________________________

______________________________________________

Phone No.:____________________

Amont Enclosed: ____________

Please print this page, write your information and mail it to one of the following addresses along with the payment. 

Thank you for registering.