School Uniform Order Form

P.O Box 977, Harrismith 9880 Tel: 058-6353155 Email: info@nexusprimary.co.za Website: www.nexusprimary.co.za

Date:*

From:*

(Customer Name & Surname)

Customer Contact Number

Grade & Class

Select or enter value

Amount Of:*

Written In Numbers And Then In (Digits)

For:*

(Items)

Select or enter value

Signature:*

(The Assistant)

Select or enter value

Attach Customer Receipt For Proof Purposes

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