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P.O. Box 2475 Knysna 6570 | Fax N? 044 382 68 48
http://www.rocanalsa.com | E-mail Address: info@rocanalsa.com

ORDER FORM
Please complete this order and send by fax or by post with the deposit slip.

YES, I am very interested in ROCANAL. Please send me:

Amount

 Product Total in ZAR

ROCANAL R1 @ R 445 =

ROCANAL R2 @ R 745 =

ROCANAL R3 @ R 745 =

ROCANAL Irrigation @ R 445 =
 

Price includes VAT. & Delivery. Total =

  More than three products = 10% Discount
 

Discounted Total =

Payment Details:
BoE Bank , Knysna, Branch N? 440 414 Saving Account: 3398111601

NAME:
ADDRESS:
TOWN:
Postal Code:
Telephone:
Fax:
E-mail address:
DP Number:
ID Number:
STAMP:  
   
   
Date
Signature:

Now >print< this form, stamp, sign and fax or post it.

PO Box 2475 Knysna 6570
Paragon Place, 24 Trotter Street Knysna 6570
Tel: +27 44 3826805  |  Fax: +27 44 3826848
Email: info@rocanalsa.com


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