Mango Bonds from Devgad Taluka Amba Utpadak Sahakari Sanstha Maryadit
Please fill up you details in the form and we will enroll you in the Mango Bonds Scheme.
Name *
Detailed Address with Pin Code *
Mobile Number *
Email Id: *
Other Contact Number
Mango Bond Purchased for? *
If you are purchasing it to gift to someone, please enter that person's details in the box in the next question!
Details of the person you wish to gift the Mango Bond to! (FOR THOSE WHO HAVE CHOSEN THE SECOND OR THIRD OPTION IN THE QUESTION ABOVE)
Please enter the Name, Detailed Address with Pin Code, Email Id and Mobile Number of the person you wish to gift the Mango Bond to! We will collect the money from you, while mangoes will be delivered to the person whose details you will enter in the box below! If you have chosen the third option, please indicate the number of Mango Bonds you wish to gift and those you wish to keep for self!
Total Amount of Mango Bonds you wish to buy! *
Base amount is Rs 50000 and in multiples of Rs 5000 each.
Preferred Grade of Mango and Week of Delivery!
You can select only one mango grade per week.
Grade A1+ (weight 300 gm average)
Grade A1 (weight 275 gm average)
Grade 1 (weight 250 gm average)
Grade 2 (weight 225 gm average)
Grade 3 (weight 200 gm average)
Grade 4 (weight 175 gm average)
March 3rd Week
March 4th Week
April 1st Week
April 2nd Week
April 3rd Week
April 4th Week
May 1st Week
May 2nd Week
Clear selection
Please let us know your mode of payment. *
Kindly give your agreement and willingness to pay the cost of mangoes!
Never submit passwords through Google Forms.
This form was created inside of