Order Form

This order form is directed at members of the South East Africa District Church.

Instructions:
1. Please ensure that all details furnished, are correct.
2. Submit your order only once - please do not duplicate it.
3. Items will only be despatched upon receipt of funds into our bank account.
4. All queries should be directed to sales@nac-sea.org.za
5. Quote your order number at all times when corresponding or querying your
    order. (This number is allocated after you submit this form)

Please provide the following contact information:

Initials
Surname
Title
Phone
FAX
E-mail

Please provide the following ordering information:

DESCRIPTION

QTY

Should you wish to order more than six different items then please
submit a second order.

SHIPPING ADDRESS:

Address
Address (cont.)
City/Town
State/Province
Zip/Postal code
Country

Please choose a Method of Delivery:

For Residents in South Africa
Registered Post - (7 - 14 Days) - R25.00 up to 1kg + R5.00/kg thereafter
Priority Mail - (2 - 3 Days - To collect at Post Office) - R35.00 up to 1kg + R20.00/kg thereafter
Courier Services - (2 Days - Delivered to door) - R62.00 up to 1kg + R20.00/kg thereafter

For Non Residents of South Africa
Air Mail Registered Post - (10 - 20 Days) - R95.00 + R10.00 per 100g
Courier Services - (4 -6 Days - Delivered to door) - R520.00 up to 500g + R200.00/500g thereafter

Please choose a Method of Payment:

Bank Transfer

Bank Details for Transfers:
Bank: Standard Bank of SA Ltd Amount Banked:
Branch: Malvern Date Banked:
Account Name: New Apostolic Church Name of Bank:
Account Number: 00-249-248-2
Branch Code: 00-51-05-14

Money Order / Bank Draft

Mailing Details for Money Orders and Bank Drafts:
New Apostolic Church Money Order Amount:
PO Box 1003 Date Mailed:
Bedfordview
2008 South Africa

Credit Card

Mastercard    Visa

Card Number:   e.g.: 1234 5678 9012 3456 / 789
   Please include CVC Number (i.e The last 3 digits on the back of your credit card)
Expiry Date: e.g.: 08/03