SLOP CHEST ORDER FORM
Please complete this form, print it, and
FAX
to
+27 21 421 3194
IMPORTANT: The prices do NOT include packing and delivery costs
Code
Item
Price:
Quantity
Value R
1
Blazer Badge
R 100
2
G B Plaque
R 125
3
Tie
R 60
4
GBOBA Cap
R 70
5
"A name among seafaring men"
Donation
6
"'n Naam wat seevaarders eer"
Donasie
7
Yacht Flag
No longer available
8
First day cover
Donation
9
Brass Belt Buckle
R 100
10
DVD The Ship, Red Hill & Gordons Bay
R 40
11
DVD Red Hill 1946/47
R 40
12
DVD SANC General Botha 1954
R 40
Total value of order:
Add
value
column :
R
TERMS: Payment on receipt of our invoice, which will include packing & delivery costs
PLEASE COMPLETE THE FOLLOWING DETAILS
Name:
E-Mail:
Phone:
Fax
Full Delivery Address
- including ZIP code:
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