Orders to be placed with:
DC Ray Brown
44 Adam Road
Springfield 6070
Port Elizabeth
Tel : 041 367 2488
Fax : 086 636 9246
E-Mail : rclgbrown@gmail.com

PLEASE SUBMIT ORDER FORM BELOW
		Form Object
	PLEASE DEPOSIT TO:			"DO NOT" DEDUCT REBATE WHEN MAKING PAYMENTS
	LIONS INT. 41OD CAKES		ACCOUNT: 62044584896		FNB WALMER 211-217
	Please use Club Name as reference. Do NOT include "Lions Club of" in your reference. Clear Copy and details to be faxed to 086 636 9246 or E-Mailed to rclgbrown@gmail.com EFT would be preferred - Cash deposit charges will be billed to clubs