EmailMeForm
Order form: NEA AWARDS FINAL ROUND - DVD's
Please complete this FORM to order a copy of the NEA Awards Final Round DVD.
Your contact details: Kindly complete ALL sections
Your Name
*
First
Last
Phone / cell number:
*
###
-
###
-
####
Email
*
Please re-enter to confirm
Unique Reference Number:
Kindly provide this number as reference on you proof of payment.
Kindly select the appropriate option:
Please mail to the address as provided below
Office collection
Address details for mailing purposes:
Kindly ensure that all the required information is provided and is correct.
Postal Address:
Postal Address line 2:
City:
Postal Code:
Kindly select the video(s) required below:
DVD - NEA Awards 2016 (R150 each)
DVD - NEA Awards 2017 (R250 each)
DVD - NEA Awards 2018 (R300 each)
Number of copies NEA Awards 2018?
Number of copies NEA Awards 2017?
Number of copies NEA Awards 2016?
Postage (where applicable):
R
Rand
Please add R60 to the total if delivery by mail is required.
Total amount due for this order:
*
R
Rand
Address for Office collections:
NEA Office,
1st Floor
284 Oak Avenue
Ferndale
RANDBURG
Banking Details
Bank: ABSA
Account type: Cheque account
Branch: Randburg
Branch code: 33 47 05
Account number: 404 747 8448
Account name: National Eisteddfod Academy
Please provide the your name and NEA DVD as reference with EFT payment. Please send proof of payment to rolien@eisteddfod.co.za when payment has been made.
Notes / additional information:
A copy of the proof an payment can also be uploaded before submitting the order.
Number