Online dating account box0861

PLEASE FILL IN YOUR DETAILS AND FAX

THIS FORM WITH PROOF OF

PAYMENT/CREDIT CARD DETAILS TO

TICK BOX:

0861 114 720

Yes, I am ordering the wall charts to comply with the Department of Labour. Please send me:

Summary of the Basic Conditions of Employment Act laminated wall chart at R135 (incl. of VAT and postage &

packaging)

Qty:

Summary of the Employment Equity Act laminated wall chart at R135 (incl. VAT and postage & packaging)

Qty:

Summary of the Occupational Health and Safety Act laminated wall notice at R135 (incl. of VAT and postage &

packaging)

Qty:

All three wall charts at the discounted price of R370 (incl. incl. VAT and postage & packaging)

PERSONAL DETAILS

WCNW

Title

Mr. Mrs. Miss. Other

First Name

Surname

Company Name:

Designation:

Your client

number with us :

Postal Address

(can be found on your statement below the date on the right-hand side)

Postal Code

Tel :

Email Address:

PAYMENT OPTIONS

Please debit my credit card with the sum of R

CREDIT CARD

Cardholders name:

Card Number:

Expiry Date: /

CVV Number:

Card type: MasterCard: Visa: (Unfortunately we cannot accept Diners Club or American Express)

Today's Date: / /

Signature:

ONLINE TRANSFER/CASH DEPOSIT

WCNW

I deposit a cheque or online transfer for the sum of R made payable to Fleet Street

Publications (Pty) Ltd.

Account name:

Fleet Street Publications (PTY) Ltd

Bank:

ABSA

Account number: 405 652 2234

Account type:

Cheque

Branch code: 63 2005

Quote as reference: Your Client Number

Please faxproofofpayment/deposit slip together withthisform to 0861 114 720

Fleet Street Publications (Pty) Ltd. Private Bag X16, North Riding, 2162. Tel: 0861 114 365 Fax: 0861 114 720;

http://www.fsp.co.za/

Copyright 2008 Fleet Street Publications (Pty) Ltd. Written queries to be addressed to: Private Bag X16, Northriding, 2162. We research our

recommendations and articles thoroughly, but disclaim all liability for any inaccuracies or omissions found inthis publication and our correspondence.

Registered in SA No: 1999/019170/07. VAT No: 4430185282

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