Order Form


Download order form and email to:  wimnell@farmingsuccess.com
MSWord
WordPerfect

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

ORDER FORM / BESTELVORM
WIM NELL
Agricultural Management Consultant
107 Besselsen Street
Universitas
Bloemfontein 9301
South Africa
For attention: Wimpie Nell
Tel. +27 (0) 51 522 9510 (H)
Cell: 082 882 9777
Fax: +27 (0) 51 401 2557/3473



Please send the following books:

Stuur asb die volgende boeke:

Quantity
Getal
Title
Titel
Unit price
Eenheidsprys
Total
Totaal
STRATEGIC APPROACH TO FARMING SUCCESS
R350,00
Postage & Package / Posgeld & verpakking
TOTAL
      R          


Name/
Naam:
_____________________________________________________________________
Address/
Adres:
_____________________________________________________________________
_____________________________________________________________________
Postal code
_______________________
Tel. no.
_________________________
Cell no.
_______________________
Fax no.
_________________________
Epos/Email
_____________________________________________________________________
Signature/
Handtekening

_____________________________________________________________________
Datum/Date
____/____/2005


Price of book
South Africa   
USA/South America/Canada/Far East
Europe
Australia
Africa
R350.00
US$ 60.00
€50.00
Aus$ 70.00
US$ 60.00
Postage and handling fees
South Africa:
R40,00
International:
Postage fees available on request
Indicate preference:
Courier / By air / By ship
International payments
        Account:  

WT Nell
ABSA  – Brandwag branch
Cnr Nelson Mandela/Donald Murray Drive
Bloemfontein, South Africa
        Cheque account no.
1570 178 454
        Swift code:
ABSAZAJJ
        Sort code:
632005
        Clearing code or IBAN no.
632005
        All charges outside South Africa for remitter

METHOD OF PAYMENT / METODE VAN BETALING (Please tick)
Cheque/Tjek


Postal order/
Posorder


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____________________
Direct deposit/
Direkte inbetaling

ABSA
Brandwag
Cheque Account
Account no.   1570 178 454
Branch code: 632 005 (Electronic transfers)
                         630 734 (Deposits)

Kindly fax the order form and deposit slip to 051 401 2557/3473.
Faks asseblief die bestelvorm en depositostrokie na 051 401 2557/3473.
WEB CREDIT CARD PAYMENTS


VISA & MASTER CARD
Please supply the following information:

Name of card holder:
_____________________________________________________________________________
Tel. no.:
____________________________________________
Email:
____________________________________________________________________________
Type of card:
Master Card ____  Visa ____
Card number:

Expiry date:

CVV2 number (Last three numbers on back of card):

Amount:
R


Signature:
______________________________________________
Please print the above form and fax to +27 (0)51 401 2557
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