Order Form:

Thank you for ordering from leonclemons.com
Please fill in the form below:

Please note items marked with a * are mandatory
First name*
Surname*
ID number*
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Please note, only one of the following fields are required
Phone number
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Fax number
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Postal address
I want to pay by Credit Card
I want to pay by Cash Deposit
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I would like to order the following:
(click on the items you want and enter the quantity)
  PRICE COPIES DESCRIPTION
   R175  Healthy Pleasures delivered by Speed Services
   R320  Healthy Pleasures delivered by Courier
  
 
Payment Details:
If you have selected a credit card payment, then you can make the payment using the next screen...
 The above information is accurate. If you place an order and think we have not received it, please do not hesitate to call and confirm.
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To pay cash directly into the account of LeonClemons.Com. Deposit cash at ABSA and fax the deposit slip to (011) 318 8311 or (086) 670 4808.

Bank Information:
Bank: ABSA
Name of account: LeonClemons.Com
Account number: 4064150116