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					                                                      Plumbing Order Form
                      Compiled by: Z. Filifili                    Authorised by:         M Arendse         Document No.: F63
                                                                      Revision No.       1                 Page No.:      1
                                                                                                           Date of update 9/11/2009


                                                           If you can imagine it, we can host it

PLUMBING SERVICES FORM 2010                                                DEADLINE DATE: 5 Working days Prior to Event/ Exhibition
                                                                                                                                              0.01
                                       RETURN TO:                 Zanoxolo Filifili
                                                                  1 Lower Long Street, Cape Town, 8001
                                                                  Fax: +27 21 410 5191/Tel: + 27 21 410 5072
                                                                  e-mail: zanoxolo@cticc.co.za

Company name                                                                             Exhibiton/Event
                                                                                         Stand #:


Street Address                                                                           Office #:
                                                                                         A/H/mobile #:
                                                                                         Facsmile #:
                                                                                         e-mail address


Authorised by                                                                            VAT Registration No.
Signature                                                                                Dates Required
Date                                                                                     (From - To)


Connections                                                                              Quantity             Unit price per          Total
                                                                                                                  event

15mm Cold water supply only - connection within 3 meters - and stop valve.
                                                                                                                 225.00
22mm Cold water supply only - connection within 3meters - and stop valve.
                                                                                                                 353.00                       0.00
15mm Cold water supply only - connection within 3 meters, stop valve and
connecting up appliance.                                                                                         705.00                       0.00
22mm Cold water supply only - connection within 3 meters, stop valve and
connecting up appliance.                                                                                         800.00                       0.00
15mm Cold water supply only with 50mm waste pipe, stop valve and
connecting to appliance.                                                                                         910.50                       0.00
22mm Cold water supply only with 50mm waste pipe, stop valve and
connecting to appliance.                                                                                        1,124.00                      0.00
50mm Waste and drainage only.                                                                                    295.00                       0.00
15mm Cold water supply only with 50mm waste pipe, with stop valve.
                                                                                                                 535.00                       0.00
22mm Cold water supply only with 50mm waste pipe, with stop valve.
                                                                                                                 642.00                       0.00
Additionals                                                                              Quantity             Unit price per          Total
                                                                                                                  event

Additional cold water supply points on exsisting lines, with stop valve.                                                                      0.00
                                                                                                                 225.00
Connecting up of appliance.                                                                                                                   0.00
                                                                                                                 428.00
To supply and fit hose tap.                                                                                                                   0.00
                                                                                                                 515.00
To hire cold water tap only - no water supply.                                                                   515.00                       0.00
To hire mixer - no water supply.                                                                                 515.00                       0.00

To hire pressure reducing valves.                                                                                515.00                       0.00
Equipment Hire                                                                           Quantity             Unit price per          Total
                                                                                                                  event

Supply of hot water cylinder into the stand and connect up hot and cold water
to Utility in the stand                                                                                         1,550.00                      0.00

Hire and connection of single bowl stainless steel sink on cabinet. 1x 15mm
chromium plated pillar tap ( Only cold water )                                                                   963.00                       0.00

Hire and connection of single bowl stainless steel sink on cabinet. 2x 15mm
chromium plated pillar tap. 50L Hot water cylinder ( Hot and cold water cylinder
incl. basin )                                                                                                   2,460.00                      0.00

Hire and connection of double bowl sink on cabinet (1 only kitchen sink mixer
connected to cold water only)                                                                                   1,124.00                      0.00

Hire and connection of double bowl sink on cabinet. 50L Hot water cylinder (
Hot and cold water cylinder incl. basin                                                                         2,570.00                      0.00

Single Bowl Pot sink with cold water only                                                                       3,960.00                      0.00

Hire and connection of 1x 5 litre wall kettle.(No waste required)                                               1,015.00                      0.00

Hire and connection of 1 x 10 litre wall kettle.(No waste required)                                             1,178.00                      0.00
                                                                                                       SUB TOTAL ZAR                          0.00
                   Orders received after the deadline date are subject to an additional 20% surcharge            ZAR                          0.00


                                                                                                            VAT 14%                           0.00
                                                                                                           TOTAL ZAR                          0.00




                                                     If you can imagine it, we can host it

                                                                                              Document uncontrolled when printed
Exhibition/Event:


Stand #:


Signature:




                                                     If you can imagine it, we can host it


PLUMBING SERVICES FORM 2010                                                                                   PAGE 2


To effect payment please complete authorisation to charge to credit/debit card


                                           Services will not be installed until payment has been received


                                                                         BANKING DETAILS
                                      Bank:                        Absa Bank Limited
                                      Account Name:                OPCO Exhibitor Services
                                      Account Number:              4072900731
                                      Branch Name:                 Heerengracht
                                      Branch Code:                 632005
                                      S.W.I.F.T. Address:          ABSAZA JJ
                                                            Vat registration number: 4030199741

  PLEASE NOTE IF THE POSITION OF ALL PLUMBING REQUIREMENTS ARE NOT INDICATED BELOW, THE CONTRACTOR WILL INSTALL AT THEIR DISCRETION.
                                      ANY CHANGES ON SITE WILL BE FOR THE ACCOUNT OF THE EXHIBITOR.

                                                                     BACK OF STAND




                                                                     FRONT OF STAND




                                              Payment Method

Credit Card Authorisation:

We/I, _________________________________________ hereby authorise the

deduction of the amount of _____________________________ by the
Cape Town International Convention Centre from our/my Credit Card, details
below:

Type of Credit Card
(VISA, American Express, Diners,
etc.)

Credit Card Number

Expiry Date

CVV Number
Last 3 numbers on back of card

4 Digit Security Number on the
Card
(American Express)

Card Holders Name

Card Holders Billing Address


Card Holders Date of Birth

Please send copy of back & front of the Credit Card



Authorised Signature: ____________________________ Date: _____________________



Please send completed form to the following fax number: +27 21 410-5191




                                                                                             Document uncontrolled when printed

				
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