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Please rush me my new business now!
I enclose my R190, which is full and final payment to register as an Agent for Reach Publishers.
Tel: 031-267-2049
Fax: 031-266-7167
RP4639
Name: ___________________________________________________ Address: _________________________________________________ _________________________________________________________ Postal Code: ______________________ Telephone Home: __________________________________________ Telephone Work: ___________________________________________ 1. Enclose your cheque / postal order / cash for R190 with this form and post it to:Reach Publishers, P.O. Box 1384, Wandsbeck, 3631.
2. Or for faster service, deposit the money into our account and fax the deposit slip together with this completed form to us at Fax: 031-266-7167 Bank: Standard Bank, Westville Branch, Branch Code: 045426 Account Name: Reach Publishers, Account Number: 053075994 3. We also accept major credit cards Visa / Mastercard - (Circle One) Expiry Date: (mm/yyyy): ______________________ Credit card number: _________________________________ Last three digits on rear of credit card: ____________ Your Signature: ___________________________ Go Back to the Main Page. Go to the Microsoft Word Brochure.