Customer (required)
Company Name
Customer Email (required)
Contact Name
Telephone (include int. dial code if outside of SA)
Fax
Mobile Telephone
Postal Address
Delivery Address
Value Card Number	It is not essential to have a Value Card but if you wish to apply online to take advantage of all the great benefits then click here.
Note: Goods will not be despatched until payment is received.
Method Of Transport
Cape Town only	Delivery Collected
Method of transport Will be weighed and invoiced	To be sent Road Freight To be sent Speed Services - to PO Box or nearest Post Office To be collected by own courier - courier name
Method Of Payment
Durban	EFT Bank Deposit Cash/Cheque
Bank Details
CAPE TOWN NEDBANK Business South Peninsula Branch Code: 123209 Acc. No. 1073 2088048 (If NO NEDBANK) STANDARD BANK Pinelands Branch Code: 036309 Acc. No. 27470 068 9
Additional Comments