BRANDED CLOTHING
Hospersa Caps
HOSPERSA ORDER FORM
R35-00
Quantity......................................................................
Hospersa Golf Shirt
R170-00
Quantity.......................................................................
Size (TICK: Lady or Man)………………………………
Hospersa Club Jacket
S
M
L
XL
2XL
3XL
4XL
S
M
L
XL
2XL
3XL
4XL
S
M
L
XL
2XL
3XL
4XL
3XL
4XL
3XL
4XL
R185-00
Quantity.......................................................................
Size...............................................................................
Hospersa V-Neck T-Shirt R95-00
Quantity.......................................................................
Size...............................................................................
Hospersa S/S Lounge Shirt S-XL R205-85
2XL-3XL R212-70
4XL R219-55
Quantity.......................................................................
Size...............................................................................
Hospersa L/S Lounge Shirt S-XL R226-35
S
M
L
2XL-3XL R233-20
XL
2XL
4XL R240-05
Quantity.......................................................................
Size...............................................................................
S
M
L
XL
2XL
Name.................................................................................................................................................................................
Place of Employment.......................................................................................................................................................
..................................................................................Contact Phone No.........................................................................
Signature..................................................
Date.......................................................
How to place your order:
1. Complete this Order Form and fax or e-mail with proof of payment to Sthabile Luthuli on: 031 765 4629 or
e-mail: [email protected]
2. Make your payment to: Hospersa, Standard Bank (Gezina), Acc. No: 013121235, Branch Code: 051001.