Customer Registration Form
This form will be used to collect Service Provider Registration Detail.

Name *
Your answer
Contact Number *
Your answer
Alternate contact Number (if any)
Your answer
Full Address *
Your answer
Pin Code *
Your answer
Website (if any) *
Your answer
Email (if any)
Your answer
Mode of Payment *
Required
What services (e.g. Home Saloon, Electrician,Plumber,Ladies Tailor etc.) you need to solve your day to day problem?
Your answer
Any other Comment
Your answer
Submit
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