PVSA Laser Engraved/Coloured Aluminium/Plastic/Brass

PVSA Ring Bestellings/PASA Ring Order
Client Details/Kliënt Besonderhede

First NameLast Name
PVSA/PASA-lidmaatskap / PASA/PVSA membershi
Telerskode/Breeders Code
PVSA Telerskode/ PASA Breeder Code
Telefoon Nommer/Telephone Number
Please enter a valid phone number.Format: (000) 000-0000.
E-pos/E-mail
example@example.com
Klub/Club/Direk Geaffilieer/Directly Affiliated/None:
Pick One
Datum/Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Ring Order - Click on add row to add more order lines
To order more rings + Add Row

Om meer ring groottes te bestel + Add Row
Delivery/Aflewering
Total/Totaal
Delivery Instructions/Aflewering Instruksie/Notes/Notas
Please put in Adress, Postnet or Pudo names
Banking Details/Bank Besonderhede
Mnr S Burger
Capitec
Rek 1914675531

Verwysing: Naam & Telerskode

Reference: Name and Breeders Code

10% Heffing op Kontant Deposito's

10% Fee on Cash Deposits
Upload Proof of Payment/Heg Betalingsbewys Aan

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PVSA Ring Bestellings/PASA Ring Order