Customer Name*

Customer Mail ID*

Customer Contact No. for Backend to Call*

Customer Contact No. to display on Digital Visiting Card

Business Name*

Address Line 1*

Address Line 2

Address Line 3

Current Location*

City*

State*

Pin Code*

Facebook Page Link

Instagram Page Link

YouTube Link

LinkedIn Page Link

Google Maps Location Link*

Website Link

Card Needs
Only Business Name
Only Logo
Both Logo & Business Name
Logo & Owner Name
Business Name & Owner Name (No Logo)
Logo, Business Name & Owner Name
Anyother
Name on Card*
Upload Logo

Profile Photo

DVC Card*
Basic
Premium
Premium+
Premium+ Card Type
—Please choose an option—Gold Metal CardSilver Metal CardBlack Metal Card
Total Package Amount
Taxation
Yes
No
Invoice Name
GST No.
PAN No.
Invoice Address
Mode of Payment
Cheque
Online
Cheque Name
Cheque No.
Bank Name
Cheque Date
On Date
PDC
NA
Online Transaction ID
Registration Date
Upload Selfie*

Cheque Leaf or Online Transaction Screenshot*

Area Name*
BA Name*
BA Email*
BA Code*
BA Pan No.*
Comments

FOR DIGITAL VISITING CARD:
Thank you for registering with Digitech Solutions for NFC cards.
Kindly note,
NFC cards will reach your location within 21 working days from the date of registration..
No refund shall be given once registration is done.
Kindly call/WhatsApp 8341642002 for any queries in between 10AM TO 6PM.