ORDER FORM

Prepaid Orders

 

Name________________________________________________________________________________

Address______________________________________________________________________________

Province/State_______________________________    Postal/Zip Code_________________________

Country____________________________________   Date_________________________________       

Fax Number___________________________________________________________________________

Telephone Number_____________________________________________________________________

E-mail Address________________________________________________________________________

 

Book

South African Delivery

No.

Total

Foreign Delivery

No.

Total

The Desmond Sacco Collection

R990.00 VAT incl. + R45.00 pp

 

R

US $170.00 + US $35.00 pp

 

$

Airmail rates on request. Please note: the postage rates may be subject to increase.

Dealer’s discount price on request

I enclose my cheque for SA Rands/US Dollars_________________________________________

for____________________________   book(s).

Please make cheques payable to “D. Sacco – Ashmole Dales”

ONLY BANK ISSUED CHEQUES AND CREDIT CARD PAYMENTS ACCEPTED FOR FOREIGN ORDERS – PLEASE NO PERSONAL CHEQUES.

CREDIT CARD ORDERS: VISA AND MASTERCARD ONLY

Credit Card Account No.    

   (Reverse Side)

 Card Type:      Visa           Master       Expiry Date (mm/yy)________/________     

I hereby authorise payment of the above amount before receiving the book(s).

 

 

Date_______________________________   Signature__________________________________

   

Order now from:

 Ursula Coetzee

Private Bag X03 Northlands 2116

 Republic of South Africa

 Tel: +27-11-7706901, Fax: +27-11-2686457

Email: UrsulaCoetzee@assore.com