Customer Name*

Customer Mail ID*

Customer Contact No.*

Alternate Contact No.

Business Name*

Address Line 1*

Address Line 2*

Address Line 3

City*

State*

Pin Code*

Page Status*
New Page
Existing

Google Page Link*

Google 360 VT*
Basic
Premium

Google 360 VT(SFT)*
0-500
500-1000
1000-1500
1500-2000
2000-2500
2500-3000
3000-3500
3500-4000
4000-4500
4500-5000
NA

HD*
5
10
15
20
25
30
35
40
45
50
55
60
NA

Comments*

Photography Instructions*
Registration Date
BA Name*
BA Code*
BA Pan No.*
Taxation*
With GSTWithout GST
Category*