jungle gym world: jungle gyms, outdoor play equipment, play equipment for children

Banking details of Jungle Gym World cc

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

Title:

First Name:

Surname:

ID Number:

E-Mail:

Physical Address:

Home Telephone No:

Work Telephone No:

Cell no:

Fax Number:

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 Transfer)

Cheque

Cash

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

Information Required: