Order a Steel Jungle Gym

Banking details of SteelJungle Gym World cc

Account name	Jungle Gym World cc
Account type	CHEQUE
Bank/Branch	ABSA CENTURION
Account number	4051 1588 70
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 Physical Address:

Home Tel No Father:

Home Tel No Mother:

Work Tel No Father:

Working Address Father:

Work Tel No 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

If No Please Specify:

Method of Payment:

EFT (Electronic Funds Trasfer)

Cheque

Cash

Information Required such as colour of slides, delivery dates, delivery times, payment dates etc:

Please also include a copy of your ID Document, Latest Payslip and CC Documents of Chreche if applicable.