CLICK ON PICTURE FOR MUCH LARGER VERSION

CLICK FOR LARGER VERSION

A2 grootte (594mm x 420mm) volkleur afdrukke kan bestel word @ R190 (posgeld ingesluit).
Elke afdruk deur die kunstenaar geteken.

A2 size (594mm x 420mm) full colour prints can be ordered @ 190 (p+p included).
Each print signed by the artist.

Naam/Name:...............................................................................................................................................................

Adres/Address:.........................................................................................................................................................
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Poskode/Postal code:.............................................

Aantal afdrukke/Quantity:.................................
Druk bestelvorm uit en voltooi. Print order form and complete.
Pos voltooide vorm met betaling na: Mail completed order with payment to:
Mynderd Vosloo
Posbus/ P.O. Box 716
Heidelberg 
1438      
Of u kan die onderstaande voltooi en elektronies stuur.
Or you can complete the form below and submit it.
Faks bewys van betaling (depositstrokie) aan: Fax proof of payment (deposit slip) to:
(016) 341 2662
 
BANK BESONDERHEDE/ BANK DETAILS:
Bank: STANDARD BANK
Tak/ Branch: HEIDELBERG (Kode/ Code: 05 28 43 43)
Rek nr./ Acc no: 030 94 24 38
Houer/ Holder: M.J.VOSLOO (tjekrekening/ cheque acc)



 

Naam / Name

Email Adress /
Epos Adres
Adres / Address
Poskode / Postal Code
Aantal afdrukke / Quantity of prints