Fixed Accounting Order: First Annual Work|
To: Fixed Accounting Services CC 2004/009702/23 - a private corporation.
Courier address: Business Registration,
PostNet, Shop No. 3, The Circle Centre, Caledon Street, Somerset West, 7130.
Postal address: P O Box 1138, Somerset West, 7129
Tel: 0861BUSINESS or 021 852-4444 Fax: 086 554 6065. Email: email@example.com
We accept these cards:
|Which year to process:|
|Your email address: |
|Your tel. no.: |
From where are you placing this order?:
|Please answer this question: How did you hear about / find us?:|
Search keyword/s used (if any):
Payment by bank deposit/transfer:
If paying by bank deposit/transfer, please zero-out (select/place zeros in) the credit card fields below, and email/fax us with a clear copy of your cash deposit slip or internet bank transfer slip (with your surname as reference), which shows a deposit/transfer of the Transaction Amount below for your first business annual work into bank account: Name: Fixed Accounting Services CC, Bank: ABSA, Account No: 4075211501, Account type: Cheque/current, Branch: Somerset West, Branch Code: 632005. OR
|Your credit card details for payment:|
|Credit card type:
Last 3 digits on reverse of card: |
|Cardholder's name (exactly as it appears on card): |
Budget or straight?:
Transaction Amount: |
Click on this link to read our terms then select an option:
By sending this order with the above details, I, the above-named placing the order, declare that I agree to the terms and conditions on this form and to the above-linked terms, that the information in this form is correct, and that the credit card is mine or I have direct and full permission from the cardholder/member to carry out this transaction. I hereby apply to Fixed Accounting Services CC for the purchase of my first business annual work with the above details, and I agree to comply with all requests in regard to information/ documentation.