Islahi Dawakhana - Contact Us

Business Enquiry Form

Contact Details

Business Enquiry / Quotation Request Form

To:	Islahi Dawakhana

Please describe your specific/customized requirements:*

Estimated Quantity:

When do you plan to purchase?

Immediately

1 Month

2 Month

3 Month

3+ Month

Your Contact Information

(Why we need your contact information)

Company Name:

Contact Person:*

E-mail:*

Phone/Mobile:*

Country code		Area code		Phone Number

Fax:

Business Address:

City/State:		Zip/Postal Code:

How would you like us to contact you:

Phone

Fax

Country:*

Enter the code shown on image:*


	Keep viewing this section for helpful tips. (* represents compulsory fields)

Business Enquiry Form

Contact Details

Mr. Hakim Islahi
Islahi Dawakhana
Fancy Mahal, Mohd. Ali Road
Mumbai - 400 003, Maharashtra, India
Phone: +(91)-(22)-23476014 / 25040512
Mobile: +(91)-9870799757 / 9967552866
Email: islahidawakhana@live.com , hamidislahi@hotmail.com