Order Form

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Please provide the following contact information:

Name
Title
Organization
Work Phone
FAX
E-mail
URL

Please provide the following ordering information:

Product overview

QTY	DESCRIPTION	PRICE in ZAR
	Subtotal
	VAT at 14%
	Total

 

	BILLING
Purchase Order #
Account Name

 

PAYMENT METHOD

Bank transfer in AdvanceElectronic payment in AdvanceMy company has terms

 

	SHIPPING & PAYMENT METHOD Please note that all customers are requested  to make payment in advance and arrange own courier. We deliver only to our registered dealers in most parts of Johannesburg and Pretoria. Delivery is free for orders above R2000; otherwise there is a charge of R50 excluding VAT. Payment: cash or confirmed Internet transfer. Cheque payments must be approved by management in advance.  Please read our Cheque Policy and Conditions of Sale.
Will collect
Please deliver
Street Address
Address (cont.)
Area
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Country

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Last modified: 11/25/10

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