![]() ![]() COVID-19 Lockdown Order FormPlease provide as much information as possible.How it works once you have filled out this form
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| Choose?: | |
| Promo Code: | |
| Contact Name: | |
| Contact Surname: | |
| Company Name: | |
| Telephone No.: | |
| Cell No.: | |
| E-Mail Address: | |
| Collect or Deliver? | |
| Gauteng Suburb: | Delivery areas and smaller suburbs we service around our store. |
| Delivery Address: |
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| Type of Address: This helps us when adding your address to the GPS and telling the driver what to look out for. |
House Free Standing House in an Estate Cluster / Town House Complex Small Holding / Farm Company Premises Factory Premises |
| Ordering Example: | Please keep the ordering logical and simple so as to minimise unnecessary emailing. Number of Packets x Number of Units x Item Description x Weight. 3 x 4 Rump Steak x 200g = 3 Packets with 4 Steaks in Each. 2 x 4 BBQ Chicken Kebabs = 2 Packets with 4 Kebabs in Each. 4 x 6 Beef Prego Steaks = 4 Packets with 6 Pregos in Each. |
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| Aditional Items or Requests or Information |
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| DOUBLE CHECK YOU HAVE ENTERED THE CORRECT E-MAIL ADDRESS BEFORE CLICKING THE SUBMIT BUTTON |