AfricanBotanicals.com Print Orderform

Fax Number: +27 21 782 8566
Postal Address: AfricanBotanicals.com, PO Box 22537, Fish Hoek 7974, South Africa

Date: _________________

I would like to order the following items:

Product Name Description Unit Price
(Excl.Shipping)  		Quantity Total Price
(Excl. Shipping)
    $   $
    $   $
    $   $
    $   $
    $   $
    $   $
    $   $
    $   $
Product TOTAL (Excluding Shipping)       $
Note: Be sure to check to see if the products you are ordering can be shipped to your country.

Shipping Costs

First Class Airmail
This service is NOT traceable after dispatch and can be used to all countries.
To work out your shipping cost, take a $5.00 handling fee, then add $1.50 for each product ordered, up to a maximum of $25.00.
e.g. 3 items ordered = $5.00 + (3 x $1.50) = $9.50

 $

Order Total
Add the Product TOTAL + Shipping Costs above to get your Order Total $

 

Shipping Details
Please ship my order to this address:

Shipping Name  
Shipping Address (include your zip/postal code)  
 
 
 
Shipping Country  
Phone / Fax Number  
Email Address  
Special Instructions
 
 
 

Payment
I have circled my method of payment:
Mastercard VISA Card American Express Diners Club Swift Transfer Cash

Credit Card Details
Credit Card Number  
CVC No. (The Card Validation Code are the additional three numbers on the back of your card)  
Expiry Date (mm/yyyy)  
Credit Card Holders Name  
Credit Card Holders Address (include zip/postal code)  
 
 
 
Credit Card Holders Country  
Issuing Bank of Credit Card (not required for American Express & Diners Club cards)  

I have read and agree to the AfricanBotanicals.com Terms and Conditions. I understand that the words African Botanicals will appear on the credit card statement for this transaction

 

Signature: _____________________________