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) +2786 542 0381.
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 COURIER | $ |
X.XX | ||
Total | $ |
To access the South African fax form, please click here.