Order Form for Growing Vegetable Video/DVD



Print this form and fax to +27 (0) 51 401  3473 or 401 2557
Or email to:  

ORDER FORM / BESTELVORM
Centre for Agricultural Management (int. box 66)
University of the Free State
P.O. Box 339
Bloemfontein 9300
South Africa
For attention: Wimpie Nell
Tel. +27 (0) 51 401 2557/3759 (W)
Cell: 082 882 9777
Fax: +27 (0) 51 401 3473/2557
Email: duplesdm.sci@ufs.ac.za
wellwt.sci@ufs.ac.za

Please send the following:

Stuur asb die volgende:

Quantity
Getal
Title
Titel
Unit price
Eenheidsprys
Total
Totaal
Growing Vegetables: Video Volume 1 & 2
R500,00
Growing Vegetables: DVD Volume 1, 2 & 3
R500,00
Growing Vegetables: Manual in full colour
R180,00
Growing Vegetables: Manual in black and white
R150,00
Postage for books when ordered separately (Speed Services)                   R45,00
TOTAL
      R          

Postage and handling fees
South Africa:
R45 (only for books)
International:
Postage fees available on request
Bank details
        Account:  

UFS Centre for Agricultural Managementl
ABSA  – Brandwag branch
Cnr Nelson Mandela/Donald Murray Drive
Bloemfontein, South Africa
        Cheque account no.
913 084 8371
        Branch code.
630 734

METHOD OF PAYMENT / METODE VAN BETALING
Cheque/
Postal order

Tjek/Posorder
Cheques must be made out to: UNIVERSITY OF THE FREE STATE

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____________________
Direct deposit/
Direkte inbetaling
Kindly fax the order form and deposit slip to 051 401 3473 or 401 2557.
Faks asseblief die bestelvorm en depositostrokie na 051 401 3473 or 401 2557
Name/
Naam:

_____________________________________________________________________
Address/
Adres:
_____________________________________________________________________
_____________________________________________________________________
Postal code
__________________________
Tel. no.
_______________________
Cell no.
__________________________
Fax no.
______________________________
Epos/Email
_____________________________________________________________________
Signature/
Handtekening

_____________________________________________________________________
Datum/Date
____/____/200__

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