Order Form

Please complete all fields.

Name First Last
Phone - (###) - ### ####
Email
Billing Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Delivery Addres
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Items

Please type in the product, product code and quantity that you want to order here.
Delivery Method Ordinary Post Overnight Speed Services Courier Service
Please make your choice: ♦ Ordinary Post: 0 - 1Kg = R 35.00 | 1-5Kg = R 65.00 (Please allow 5-7 days for delivery) ♦ Overnight Services: 0-1Kg = R 60.00 | 1-5Kg = R 160.00 (Delivery to Post Office counter - certain areas only. Allow maximum 2 days for delivery) ♦ Courier Service: 0-5Kg = R 180.00 | 5-6Kg = R 240.00 (Delivered to your business address - certain areas only. Allow 2-3 days for delivery)