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Last Name * Enter Last Name

Email ID * Enter Email Id

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Self Family/Friend

Receiver 1 Details

Mobile Number *

+ 91

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Email ID * Enter Email Id

First Name* Enter First Name

Last Name* Enter Last Name

Date Of Birth* Minimum 12 Years of Age

Gender

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Pincode* Enter Valid Pin Code

City* Enter City

State* Select State

Card Value

Select Card Amount * ( Card value to be between ₹ 1000 to ₹ 10000 only)

₹ 1000

₹ 2000

₹ 5000

₹ 10000

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Amount must be between ₹1,000 and ₹10,000.

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Self Pickup (At any Phoenix Mall's Help Desk across India) Home Delivery (Gift Card will be delivered within 5-7 working days)

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Courier to Self Courier to Receiver

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