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NQF1-5 CREATIVELY UNPACKED CC
ORDER FORM

To place your online order with us, kindly complete this form in full and then submit it to us.

Note that all fields marked with an asterisk (*) are mandatory - you therefore need to complete at least these fields in order to place your order.

CLIENT DETAILS:  
- Name and Surname: *
- Physical Delivery Address (Line 1) *
- Physical Delivery Address (Line 2) *
- Physical Delivery Address (Line 3)
- Postal Code: *
- Cellphone:
- Tel (Work): (Remember the Code)
- Tel (Home): (Remember the Code)
- e-Mail Address: * (Must be valid)
ORDER DETAILS:
Item Description Colour Reference Quantity Unit Price Amount
* * * R * R *
R R
R R
R R
R R
R R
R R
R R
R R
R R
R R
- Add 15% for South Africa: R

- Add 30% for Overseas Orders:

R
TOTAL: R
PAYMENT DETAILS:
We accept cash, internet transfers, bank deposits and bank guaranteed cheques.
 
BANK DETAILS:  
- Bank: First National Bank
- Account Name: Jody Rischbieter
- Account Number: 62003271442
- Branch: 250841