If you prefer to order via a fax order, please print out this page, fill in your order and your credit card detail below, and fax it to our operational offices at fax (South Africa) +27.12.361 0061.
To go to our home page please click here.
| Name and surname | |
| Credit card type | Visa / MasterCard / Amex / Diners (Circle the type) |
| Card number | _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _ |
| Expiry date | Month (............) Year (............) |
| CCV number | (3 digit number on the back of your card on the signature strip) |
| E-mail address | |
| Full postal address | line 1 |
| line 2 | |
| line 3 | |
| State / Province / Zip + Country code | |
| Signature as on card: |
|
| Items required |
Quantity |
Total | ||
| $ | ||||
| $ | ||||
| $ | ||||
| $ | ||||
| $ | ||||
| $ | ||||
| $ | ||||
| $ | ||||
| $ | ||||
| $ | ||||
| SHIPPING VIA 1st CLASS MAIL | $ |
0.00 | ||
|
Remember - there are no other charges like shipping or postage and handling to add - the price listed is the total price you pay. |
Total | $ |
To access the South African fax form, please click here.