To order by fax, please print out this page, complete and fax to our offices. If you wish to pay via internet transfer please click here for bank details.
Our fax number in Pretoria, 012. 361 0061
|
PLEASE NOTE– We charge R 30.00 for delivery anywhere in South Africa and our minimum order quantity is R 150.00 per order. |
To return to our products page, click here, and to go to our home page, click here.
| Name and surname | |
| Credit card type | Visa / MasterCard / Amex / Diners (Circle the type) |
| Card number | |
| CCV number (3 digit number on the back of your card on the signature strip) |
|
| Expiry date | Month (............) Year (............) |
| E-mail address | |
| Telephone number | |
| Full street or postal address (including Province and postal code.) |
line 1 |
| line 2 | |
| line 3 | |
| Signature as on card:
..................................... |
Province: |
| Postal code: | |
| (Postal code is also used for courier parcels, as courier companies use the code to sort their parcels) |
| Description |
Quantity |
Total |
| Courier fees |
35.00 |
|
| Total | SA R |