PCDA Membership APPLICATION FORM

PUNE CEMENT DEALER’S ASSOCIATION

A, 106/107 Kalpataru Plaza, 224 Bhawani Peth, Pune - 411 041 Phone No. 26330262


I Shri ________________________________________________________________
Partner/Proprietor of M/s  ________________________________________________________________
 

Request you to enroll our/my firm as member of the Association. We /I, are /am Cement wholesale/Retail dealer. We/I will abide by the rule and Regulations of the Associations.

Name of the Firm ________________________________________________________________
Address   ________________________________________________________________
  ________________________________________________________________
Phone No ____________________  Fax No. ______________ Mobile No. ____________
Partners:  
Name & Address  

1

_____________________________________________________
  _____________________________________________________
2 _____________________________________________________
  _____________________________________________________
3 _____________________________________________________
  _____________________________________________________
   
Recommended by  
   
   
   
  Rubber Stamp Of The Firm and Signature
   
Signature  
   
For office use  

Rs.___________  is paid by Cash/Cheque No. ______________  On __________________ For year __________

 

 

 

Treasurer                                                                       President/ Secretary

Pune Cement Dealer’s Association