CMN
Order Form

Payment of the R250.00 is required directly into Dr Arnau's bank account
Bank Details:

  • Account Name: A van Wyngaard
  • Bank: Absa
  • Branch: Piet Retief
  • Branch Code: 334544
  • Account No: 9059314300
  • Type: Savings Account

Please send a copy of the bank payment to:
Fax:
017-8265461 or e-mail: wyngaard@lando.co.za with "Order" in subject line

Title:

Initials:

Surname:

PO Box Address:

Area Code:

E-mail: