SUNDIAL PURCHASER DETAILS
name:
postal address:
state:
country:
zip/postal code:
telephone:
area code:
cellular telephone:
e-mail:
<< Required
facsimile:
area code:

SUNDIALS EXCLUSIVE WILL NOT PASS ON ANY NAMES, ADDRESSES, TELEPHONE OR E-MAIL NUMBERS TO THIRD PARTIES
SUNDIAL RECIPIENT'S DETAILS
name:
physical address for delivery:
physical address of final siting place of sundial:

SUNDIALS EXCLUSIVE WILL NOT PASS ON ANY NAMES, ADDRESSES, TELEPHONE OR E-MAIL NUMBERS TO THIRD PARTIES
SUNDIAL SELECTION

Please indicate your sundial style : Engraved Profiled Armillary Sphere
                                                        Vertical Glass

Please indicate your sundial design :

Shape:

Finish: Polished Brass Antique Verdigris

Size:

 

sundial motto :


personal requirements NAMES, DATES, MOTTO, SELECTED PROSE ETC:

WE WILL FAX A COPY OF YOUR DESIGN TO YOU FOR VIEWING AND APPROVAL PRIOR TO CRAFTING.


PAYMENT OPTIONS

              

Payment maybe made in any of the following ways. Please indicate method of payment and amount:

DIRECT BANK TRANFER

  Sundials Exclusive Banking Details:
Standard Bank
Account Number: 07 171 8257
Account Name: Sundials Exclusive
Branch: Constantia
Branch Code: 025309
Amount paid from price list:
CHEQUE
  Sundials Exclusive
PO Box 31056
Tokai
7966
CREDIT CARD
 

We accept MasterCard, Maestro, VISA, VISA Electron, American Express and Diner's Club.
For your safety and security, you may use your credit card without having to enter your complete number on the internet. Simply enter your last five digits and the expiry date of your credit card with your CVC number.

We will then separately contact you directly for the balance of your credit card number to ensure safety.

  Name:
Credit Card:

MasterCard
Maestro
VISA
VISA Electron
American Express
Diners Club
Last five digits: (on the front of card)
Expiry date: mm yy (on the front of card)
CVC number: (last three numbers on the rear of card)

E-MAIL info@sundialsexclusive.com

Copyright © 2006 Sundials Exclusive International.
All rights reserved.