CONTACT DETAILS
Please complete the following contact information:

Name
Title
Organization
Physical address
Postal code
Country (if not S.A.)
Phone
Fax
E-mail

PRODUCT DETAILS
Please complete the following product information:

Select the product/s you wish to order by checking the appropriate box/es on the left.
Enter the quantity of each product required into the box provided.

-->

	Quantity	Multimedia Software Products
		Speak Xhosa With Us - Beginners to Advanced Single-User Pack (includes book) (ISBN:0-620-22190-9) R600.00 inclusive of VAT
		Speak Zulu With Us - Beginners Single-User Pack (includes book) (ISBN:0-620-24427-5) R480.00 inclusive of VAT
		Speak Zulu With Us - Intermediate to Advanced Single-User CD-ROM (ISBN:0-620-27725-4) R650.00 inclusive of VAT
	Quantity	Audio Products
		Everyday Zulu Phrases - Beginners Audio CD (ISBN:0-620-33171-2) R190.00 inclusive of VAT
		Everyday Xhosa Phrases - Beginners Audio CD (ISBN:0-620-33170-4) R190.00 inclusive of VAT
		Everyday Sotho Phrases - Beginners Audio CD (ISBN:0-620-33172-0) R190.00 inclusive of VAT
		Everyday Tswana Phrases - Beginners Audio CD (ISBN:0-620-33173-9) R190.00 inclusive of VAT
		Everyday Pedi Phrases - Beginners Audio CD (ISBN:0-620-41274-2) R190.00 inclusive of VAT

BILLING DETAILS
Please enter the following billing information:

Credit card	VISA MasterCard Diners Club Amex
Cardholder name
Card number
Expiration date
Verification code (3 digits on  back of card)

SHIPPING DETAILS
Please provide a shipping address:

Postal address
Postal code
Country

SHIPPING OUTSIDE SOUTH AFRICA
Please check acceptance of shipping charge for delivery outside of South Africa:

I give permission for postage to be debited from my credit card (see shipping information for cost details), if I live outside of South Africa.