Please complete the form below after you've made the payment, and faxed through the proof of payment to 021-979 2768 or email to geckorock@telkomsa.net.
Banking details below.

Your Contact Details
Your name:  
Your Email:  
Your contact number:  
Your address for delivery:  

Order Details
Message required in the book:
(To, happy birthday, happy Christmas etc.)		  
Requested delivery date:
(allow three weeks for dispatch and mail to nearest post office counter.)
Number of books required:
(R295.00 per book.)		  
Total amount paid:
(Please add postage of R15.00 per book.)		  
 

Banking Details


Investec Private Bank
100 Grayston Drive, Sandton
Acc Number: 10011345776
Branch code: 580105
Please use your last name and the date as a reference.
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