Pesach Water Order Form
Please e-mail proof of payment to confirm your order
Full Name
First Name
Last Name
E-mail
example@example.com
Contact Number
Format: (000) 000-0000.
Do you require delivery?
Yes - (0-5km) add R55 to my order
Yes - (more than 5km) add R80 to my order
No I will collect from you in Sandown - address provided upon order confirmation
Send Gift?
Yes
No
Recipient's Full Name
First Name
Last Name
Pesach Themed waters (while stocks last)
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( X )
A Pack of Black and White Waters
12 per pack
180.00 ZAR
180.00
ZAR
No. of Packs
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80
Item subtotal:
0.00 ZAR
0.00
ZAR
A Pack of colored Waters
12 per pack
180.00 ZAR
180.00
ZAR
No. of Packs
1
2
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80
Item subtotal:
0.00 ZAR
0.00
ZAR
Gift Message
Special Instructions
Submit
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