Please complete the
form below, press submit, and a Towerfx agent will contact
you shortly to confirm order and rates.
Travel Agency/
Traveller
ID No.:
Consultant Name :
Traveller
PP No.:
Telephone Number:
Business
Holiday
Fax Number:
Payment by:
Client
Agent
Comp.
Travellers
name:
Date of delivery:
Travellers
tel. number:
Time of delivery:
Travellers email:
Traveller Residency:
SA Resident
Non-Resident
Traveller
Residential Address (Only )
Delivery Address:
PLEASE
NOTE THE ABOVE MUST BE COMPLETED IN FULL!
Travellers
Cheques
Foreign
Notes
Method of Payment
Certain currencies are
only available in CASH.
*Please note:
All financial transactions will be handled off-line
If
you are paying by credit card, please insure you have the
following details in order:
If you are paying by cheque, please
insure it is a bank issued cheque.
Disclaimer: Tower Foreign Exchange does not guarantee
the accuracy or completeness of it's analysis or any information
contained therein. Tower Foreign Exchange makes no warranties,
expressed or implied, as to results obtained by any person
or entity from use of it's information and analyses, and
makes no warranties of merchantability or fitness for a
particular purpose. In no event shall Tower Foreign Exchange
be liable for indirect or incedental, special or consequential
damages, regardless of whether such damages were forseen
or unforseen. Tower Foreign Exchange shall be indemnified
and held harmless from any actions, claims, proceedings
or liabilities with respect to it's information and analysis.
A
Tower representative will call to confirm order and rates
