Computers for Music cc
P O Box 16
Bushmans River Mouth 6190
South Africa
Tel/Fax: +27 (0)46 648 3021
Cellular: +27 (0)82 859 2726
Mailto:cfm@imaginet.co.za
www.compumus.com

ORDER FORM

Kindly print out this order form, complete it with all the relevant information and fax it to: Computers for Music, Facsimile number: 0866 167 107.   All prices quoted are in South African currency (Rand) and are inclusive of VAT. Prices subject to change due to currency fluctuations: Kindly confirm on order. NOTE: Payment in full  is required before shipping. 
Kindly fax through confirmation of deposits. 

NAME:.............................................................................

ADDRESS:...........................................................................................................

CITY:..........................................................................CODE:.............................

TELEPHONE  (H)
(code).................No.........................
TELEPHONE  (B) 
(code)............No.......................
CELLULAR.............................................................. FACSIMILE(code)......................No.........................

NAME OF INSTITUTION/BUSINESS:..................................................................

ORDER NUMBER (if applicable)..............................................................................

DEPOSIT: Cheque:............... Direct Bank Transfer:.................Other:.......................(tick or state)

I/We wish to order the following products:

ITEM

COST


1....................................................................

2....................................................................

3....................................................................

R.................................

R.................................

R.................................

Sub Total

R...............................
Shipping
R...............................
TOTAL
R...............................
Shipping Charges: 
SpeedPost R150;    Courier R350,00

Bank details:
Computers for Music
cc
ABSA Bank Port Alfred, Branch Code: 632005
Savings Account No: 907 053 3539

Thank you for your patronage.