STEEL JUNGLE GYM ORDER FORM

Banking details of SteelJungle Gym World cc
 
Account name Jungle Gym World cc
Account type CHEQUE
Bank/Branch ABSA CENTURION
Account number 405 115 8870
Branch Code 630445


ON DAY OF DELIVERY
NO PROOF OF PAYMENT, NO JUNGLE GYM

If you are wanting to rent a Jungle Gym PLEASE READ the rental information First before filling in the order form.
(Click Here to read)

Title:
 
First Name:
 
Surname:
 
ID Number:  
E-Mail:
 
Physical Address:
 
Delivery Address Only if different from Pysical Address:  
Home TelNo Father:
 
Home TelNo Mother:  
Work TelNo Father:  
Working Address Father:  
Work TelNo Mother:  
Working Address Mother:  
Cell no Father:  
Cell no Mother:  
Fax Number:
 
Next of Kin Name  
Next of Kin Telephone  
Product Code:  
Where did you hear from us?  
Would you like to:  
Rent 6 Months 12 Months
Buy No Rentals below R100 per / month
  I here by agree to the Rental Conditions
Select type of slide (Only applies to if you buy)  
Fibreglass Steel
Easy access to your property?  
Yes No
    If No Please Specify:
Method of Payment: EFT (Electronic Funds Trasfer)
  Cheque
  Cash
Information Required:
 
Please also include a copy of your ID Document, Latest Payslip and CC Documents of Chreche if applicable.
   

 

RENTING OPTION

 

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