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ORDER FORM / BESTELVORM
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WIM NELL
Agricultural Management Consultant
P.O. Box 42108, Heuwelsig 9332, Bloemfontein
South Africa
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For attention: Wimpie Nell
Tel. +27 (0) 51 451 1875(H)
Cell: 082 882 9777
Fax: +27 (0) 51 401 3473
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Please send the following books:
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Stuur asb die volgende boeke:
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Quantity
Getal
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Title
Titel
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Unit price
Eenheidsprys
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Total
Totaal
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STRATEGIC APPROACH TO FARMING SUCCESS
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R350,00
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Postage & Package / Posgeld & verpakking
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TOTAL
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R
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Name/
Naam:
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_____________________________________________________________________
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Address/
Adres:
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_____________________________________________________________________
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_____________________________________________________________________
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Postal code
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_______________________
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Tel. no.
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_________________________
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Cell no.
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_______________________
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Fax no.
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_________________________
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Epos/Email
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_____________________________________________________________________
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Signature/
Handtekening
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_____________________________________________________________________
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Datum/Date
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____/____/20__
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Price of book
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South Africa
USA/South America/Canada/Far East
Europe
Australia
Africa
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R350.00
US$ 35.00
€50.00
Aus$ 70.00
US$ 60.00
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Postage and handling fees
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South Africa:
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R50,00
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International:
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Postage fees available on request
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Indicate preference:
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Courier / By air / By ship
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International payments
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Account:
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WT Nell
Nedbank, Waterfront
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Cheque account no.
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166 2088 604
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Branch code
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166 234
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METHOD OF PAYMENT / METODE VAN BETALING (Please tick)
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Cheque/Tjek
Postal order/
Posorder
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Cheques must be made out to: WT NELL
Tjeks moet uitgemaak word aan: WT NELL
Enclosed are the order form and my cheque/postal order for the amount of:
Ingesluit is die bestelvorm en my tjek/posorder vir die bedrag van:
R____________________
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Direct deposit/
Direkte inbetaling
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Nedbank
Waterfront
Cheque Account
Account no. 166 2088 604
Branch code: 166 234
Kindly fax the order form and deposit slip to 051 401 3473.
Faks asseblief die bestelvorm en depositostrokie na 051 401 3473.
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WEB CREDIT CARD PAYMENTS
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VISA & MASTER CARD
Please supply the following information:
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Name of card holder:
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_____________________________________________________________________________
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Tel. no.:
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____________________________________________
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Email:
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____________________________________________________________________________
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Type of card:
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Master Card ____ Visa ____
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Card number:
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Expiry date:
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CVV2 number (Last three numbers on back of card):
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Amount:
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Signature:
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______________________________________________
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Please print the above form and fax back to +27 (0)51 401 3473
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