BOOKING FORM

Event: CAPE ARGUS PICK 'N PAY CYCLE TOUR 2012
Date: 11 MARCH 2012
   
Details of participant:
Surname:
Initials:
Tel No:
Cell Number:
Fax Number:
E-mail:
Address:
   
Insurance:
Restricted insurance against occurrences such as fire, collision, overturning and hi-jacking to the value declared on the application, but limited to a maximum value of R20 000-00 is included in the transportation cost. No additional payments will be required to obtain coverage.
 

Please select the Collecting/Delivery Point below:
Area:
   
Transportation required:
Type: Price (vat incl) Please tick
Transport & Carton & wrapping R800.00
Tandem R1000.00
Storage R40 per day
From 18 March 2012
* Storage is only available at Centurion
Number of days
 
Details on Bicycle
Colour:
Make:
Model:
Value:
 
Please Note: Detail regarding dates, time and addresses of delivery and collection points will be confirmed in your letter of confirmation.
 
Payments are non-refundable. Only direct deposits into the following account is acceptable.
 

Our Payment Details:

JH Retief Transport
Absa Bank
Account number: 9213911716,
Branch code: 632005

Fax deposit slip and booking form to J H RETIEF Transport - 086 763 2158or E-mail to johand@jhretief.co.za. A letter confirming your booking, including a reference number, will be sent to you once proof of payment has been received.

Deadlines:

Please book early to avoid disappointment. Registration will be close without notice as soon as the predetermined quantities are reached.

Declaration:

I declare that the above information is true and correct. 

I except all conditions stipulated above.

Contact Numbers:

Tel: 012 644 1558
Fax: 086 763 2158
Email: johand@jhretief.co.za

 
 
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