Professional Documents
Culture Documents
REGISTRATION FORM
SECTION A (Please do use capital letters)
ABOUT YOUR ORGANISATION
ABOUT YOU
Authorized signatory's details
Mr
Mrs
Organization Details
Ms
Name:
First Name:
Last name:
Designation:
Mobile:
E-Mail address:
Personal address:
City:
Postal Code:
State:
Yes
No
SMS
I / we have read and understood the terms and conditions mentioned overleaf and unconditionally accept them as binding on me/us. I / we further declare and undertake
that the above information provided by me/us are true and correct in all respects.
Date: ______________________________
Signature: ______________________________
Note: Protected seal is required (Round seal, For seal, Authorized signatory seal etc) Address seal is not accepted.
Proprietor cannot authorize anybody & Trustee can authorize trustees only.
SECTION B
AUTHORISATION TO ISSUE DECATHLON'S MEMBERSHIP
With reference to the above subject, please find enclosed a copy of the organization certificate. We, hereby, authorize each individual specified in the list below to obtain the
login details to access decathlon.in, to purchase products from Decathlon on behalf of our organization. Further, the authorized person is aware of and have understood DSI's
general terms and conditions mentioned overleaf.
Personal Address
1) Mr
Mrs
Ms
Mrs
Ms
Mrs
Ms
Mrs
Ms
Mrs
Ms
Full Name:
email:
Mobile:
2) Mr
Full Name:
email:
Mobile:
3) Mr
Full Name:
email:
Mobile:
4) Mr
Full Name:
email:
Mobile:
5) Mr
Full Name:
email:
Mobile:
Date: __________________________
Designation:
___________________________________
Signature:
___________________________________
Note : Protected seal is required. (Round seal, For seal etc) Address seal is not accepted
Our Mission
Make the pleasure and benefits of sport accessible to all Indians
Note: For registration of any Government Entity, authorization letter to be printed on letter head of the Department, duly stamped and signed by authorized signatory.
Contact us at:
Email
ecom@decathlon.in
Id:
Mobile : 8095500075
V 31.08.13