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Please
print this order form, complete and fax to 012-807 0724.
We will calculate the total amount plus postage and advise you of the
total amount payable on the
pro forma invoice. ONLY then do you have to deposit money to our bank account and fax the
deposit slip OR
supply your credit card details. (International customers, please e-mail
us your needs)
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| NAME: |
| POSTAL
ADDRESS:
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| Tel:
(
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Fax:
( ) |
| E-mail: |
Date: |
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Code |
Description |
Quantity |
Price
(each) |
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POSTAGE:
We only have STANDARD POSTAL SERVICES available.
The MINIMUM cost is R25.00 per order. We will fax you the final cost with your pro forma invoice. |
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If
you want to pay by Credit Card (VISA & MASTER only), please
complete: |
VISA
or MASTER: _______________
Card
No.:
____________________________
Expiry date:
_______________ Security no. at back (3
digits): _________
Card name:
____________________________
Signature:
______________________
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