Order form

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" height=90 BGCOLOR="#006699" TEXT="#080000" bgproperties="fixed" background="02c285a1erlcgo.gif"> <div> <FONT SIZE="5" COLOR="#FFCC66" FACE="Arial" ><B>FARMING SUCCESS</B></FONT><B>     |    </B><B> </B><A HREF="index.htm" TARGET="_top" TITLE="FARMING SUCCESS"><U><B>Home</B></U></A></div> <div> <A HREF="approach9f.htm" TARGET="_top" TITLE="Approach followed"><U>Approach</U></A><FONT SIZE="1" COLOR="#FFFF99" FACE="Symbol" >   ·   </FONT><A HREF="first_gardens.htm" TARGET="_top" TITLE="MUCPP food gardens"><U>First-gardens</U></A><FONT SIZE="1" COLOR="#FFFF99" FACE="Symbol" >   ·   </FONT>Order form<FONT SIZE="1" COLOR="#FFFF99" FACE="Symbol" >   ·   </FONT><A HREF="site.htm" TARGET="_top" TITLE="Choosing a site for your garden"><U>Site</U></A><FONT SIZE="1" COLOR="#FFFF99" FACE="Symbol" >   ·   </FONT><A HREF="compost.htm" TARGET="_top" TITLE="Backyard compostmaking"><U>Compost</U></A></div> <div> </div> </td> </tr><tr> <td valign="top" height=390 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I>  Order Form for Growing Vegetable Video/DVD</I></div> <div> <IMG SRC="3e2580a0.jpg" border=0 width="600" height="10" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <bR> <bR> <bR> <div> <I><B>Print this form and fax to +27 (0) 51 401  3473 or 401 2557</B></I></div> <div> <I><B>Or email to:  </B></I></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="2" CELLSPACING="1" WIDTH="652" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#FFCC80 HEIGHT= 16 WIDTH="644"><div> <B>ORDER FORM / BESTELVORM</B></div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 89 ><NOBR><div> Centre for Agricultural Management (int. box 66)</div> <div> University of the Free State</div> <div> P.O. Box 339</div> <div> Bloemfontein 9300</div> <div> South Africa</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="330"><div> For attention: Wimpie Nell</div> <div> Tel. +27 (0) 51 401 2557/3759 (W)</div> <div> Cell: 082 882 9777</div> <div> Fax: +27 (0) 51 401 3473/2557</div> <div> <I><B>Email: duplesdm.sci@ufs.ac.za</B></I></div> <div> <I><B>wellwt.sci@ufs.ac.za</B></I></div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 30 WIDTH="311"><bR> <div> Please send the following:</div> </tD> <tD VALIGN=TOP WIDTH="330"><bR> <div> Stuur asb die volgende:</div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="1" CELLPADDING="4" CELLSPACING="2" WIDTH="651" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 30 WIDTH="66"><div> <B>Quantity</B></div> <div> <B>Getal</B></div> </tD> <tD VALIGN=TOP WIDTH="354"><div> <B>Title</B></div> <div> <B>Titel</B></div> </tD> <tD VALIGN=TOP><NOBR><div> <B>Unit price</B></div> <div> <B>Eenheidsprys</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="85"><div> <B>Total</B></div> <div> <B>Totaal</B></div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 15 WIDTH="66"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="15" ALIGN="bottom" WIDTH="66" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="354"><div> Growing Vegetables: Video Volume 1 & 2</div> </tD> <tD VALIGN=CENTER WIDTH="94"><div> R500,00</div> </tD> <tD VALIGN=CENTER WIDTH="85"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="15" ALIGN="bottom" WIDTH="85" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 15 WIDTH="66"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="15" ALIGN="bottom" WIDTH="66" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="354"><div> Growing Vegetables: DVD Volume 1, 2 & 3</div> </tD> <tD VALIGN=CENTER WIDTH="94"><div> R500,00</div> </tD> <tD VALIGN=CENTER WIDTH="85"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="15" ALIGN="bottom" WIDTH="85" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 15 WIDTH="66"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="15" ALIGN="bottom" WIDTH="66" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="354"><div> Growing Vegetables: Manual in full colour</div> </tD> <tD VALIGN=CENTER WIDTH="94"><div> R180,00</div> </tD> <tD VALIGN=CENTER WIDTH="85"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="15" ALIGN="bottom" WIDTH="85" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 15 WIDTH="66"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="15" ALIGN="bottom" WIDTH="66" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER><NOBR><div> Growing Vegetables: Manual in black and white</div> </NOBR></tD> <tD VALIGN=CENTER WIDTH="94"><div> R150,00</div> </tD> <tD VALIGN=CENTER WIDTH="85"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="15" ALIGN="bottom" WIDTH="85" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP ROWSPAN=2 HEIGHT= 15 WIDTH="66"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="15" ALIGN="bottom" WIDTH="66" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP COLSPAN=2><NOBR><div> Postage for books when ordered separately (Speed Services)                   R45,00</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="85"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="15" ALIGN="bottom" WIDTH="85" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP WIDTH="354"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="15" ALIGN="bottom" WIDTH="354" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="94"><div> <B>TOTAL</B></div> </tD> <tD VALIGN=TOP WIDTH="85"><div> <B>      R          </B></div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="2" CELLSPACING="1" WIDTH="640" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP ROWSPAN=4 BGCOLOR=#EEEEEE HEIGHT= 15 WIDTH="107"><div> <B>Postage and handling fees</B></div> </tD> <tD VALIGN=TOP WIDTH="239"><div> South Africa:</div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="276"><div> R45 (only for books)</div> </tD> </tR> <tR> <tD VALIGN=TOP WIDTH="239"><div> International:</div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="276"><div> Postage fees available on request</div> </tD> </tR> <tR> <tD VALIGN=TOP WIDTH="239"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="15" ALIGN="bottom" WIDTH="239" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="276"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="15" ALIGN="bottom" WIDTH="276" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP WIDTH="239"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="239" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="276"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="276" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP ROWSPAN=4 BGCOLOR=#EEEEEE HEIGHT= 57 WIDTH="107"><div> <B>Bank details</B></div> </tD> <tD VALIGN=TOP WIDTH="239"><div>         Account:  </div> <bR> </tD> <tD VALIGN=TOP COLSPAN=2><NOBR><div> UFS Centre for Agricultural Managementl</div> <div> ABSA  – Brandwag branch</div> <div> Cnr Nelson Mandela/Donald Murray Drive</div> <div> Bloemfontein, South Africa</div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP WIDTH="239"><div>         Cheque account no.</div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="276"><div> 913 084 8371</div> </tD> </tR> <tR> <tD VALIGN=TOP WIDTH="239"><div>         Branch code.</div> </tD> <tD VALIGN=TOP WIDTH="120"><div> 630 734</div> </tD> <tD VALIGN=TOP WIDTH="153"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="15" ALIGN="bottom" WIDTH="153" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP WIDTH="239"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="15" ALIGN="bottom" WIDTH="239" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="120"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="15" ALIGN="bottom" WIDTH="120" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="153"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="15" ALIGN="bottom" WIDTH="153" HSPACE="0" VSPACE="0"></tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="3" CELLSPACING="3" WIDTH="654" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#EEEEEE HEIGHT= 20 WIDTH="638"><div> <B>METHOD OF PAYMENT / METODE VAN BETALING</B></div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 89 ><NOBR><div> <B>Cheque/</B></div> <div> <B>Postal order</B></div> <bR> <div> <B>Tjek/Posorder</B></div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> Cheques must be made out to: UNIVERSITY OF THE FREE STATE</div> <bR> <div> Enclosed are the order form and my cheque/postal order for the amount of:</div> <div> Ingesluit is die bestelvorm en my tjek/posorder vir die bedrag van:</div> <bR> <div> R____________________</div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 30 ><NOBR><div> <B>Direct deposit/</B></div> <div> <B>Direkte inbetaling</B></div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> Kindly fax the order form and deposit slip to 051 401 3473 or 401 2557.</div> <div> Faks asseblief die bestelvorm en depositostrokie na 051 401 3473 or 401 2557</div> </NOBR></tD> </tR> </TABLE></div> <div> <TABLE BORDER="0" CELLPADDING="4" CELLSPACING="3" WIDTH="629" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP BGCOLOR=#EEEEEE HEIGHT= 30 WIDTH="101"><div> <B>Name/</B></div> <div> <B>Naam:</B></div> </tD> <tD VALIGN=TOP COLSPAN=3><NOBR><bR> <div> _____________________________________________________________________</div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP ROWSPAN=2 BGCOLOR=#EEEEEE HEIGHT= 15 WIDTH="101"><div> <B>Address/</B></div> <div> <B>Adres:</B></div> </tD> <tD VALIGN=TOP COLSPAN=3><NOBR><div> _____________________________________________________________________</div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=3><NOBR><div> _____________________________________________________________________</div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#EEEEEE HEIGHT= 19 WIDTH="101"><div> <B>Postal code</B></div> </tD> <tD VALIGN=TOP><NOBR><div> __________________________</div> </NOBR></tD> <tD VALIGN=TOP BGCOLOR=#EEEEEE WIDTH="64"><div> <B>Tel. no.</B></div> </tD> <tD VALIGN=TOP><NOBR><div> _______________________</div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#EEEEEE HEIGHT= 16 WIDTH="101"><div> <B>Cell no.</B></div> </tD> <tD VALIGN=TOP><NOBR><div> __________________________</div> </NOBR></tD> <tD VALIGN=TOP BGCOLOR=#EEEEEE><NOBR><div> <B>Fax no.</B></div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> ______________________________</div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#EEEEEE HEIGHT= 15 WIDTH="101"><div> <B>Epos/Email</B></div> </tD> <tD VALIGN=TOP COLSPAN=3><NOBR><div> _____________________________________________________________________</div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#EEEEEE HEIGHT= 30 ><NOBR><div> <B>Signature/</B></div> <div> <B>Handtekening</B></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=3><NOBR><bR> <div> _____________________________________________________________________</div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#EEEEEE HEIGHT= 16 WIDTH="101"><div> <B>Datum/Date</B></div> </tD> <tD VALIGN=TOP WIDTH="189"><div> ____/____/200__</div> </tD> <tD VALIGN=TOP WIDTH="64"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="64" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="228"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="228" HSPACE="0" VSPACE="0"></tD> </tR> </TABLE></div> <bR> <DIV ALIGN="LEFT"></DIV> <div> <IMG SRC="02d0e0e0.gif" border=0 width="14" height="14" ALT="up" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </td> </tr></table></body>