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Semelia Order Form


Paypal Payment $60.00 Sale Price $40.00
Payfast, Ukash Voucher, credit and debit card R525.00 Sale Price R425.00
South Africa, Direct Deposit and EFT R500.00 Sale Price R400.00

Please complete the form carefully to avoid shipping delays

Full Name
Contact Number 1
Contact Number 2
E-mail Address
Alt e-mail address
Physical address
Area code
Postal address
Postal code
Payment Options

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