Rape Wise - Are You Rape Wise?

An informed child, is an empowered child

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DVD ORDER FORM

Please complete the order form below, or download it in pdf format here

Name of school/parent/organisation:
Mobile:
Tel:
Fax:
Postal Address:
Code:
E-Mail:
We would like:	copies of trust_
Cost: (R99.95 and R25.00 for postage and packaging Total: R 124.95)
Total amount:

Please use your schools name/organisation/name as reference on all banking transactions, fax completed form and payment to: admin@rapewise.co.za or 086 696 7807

Contact details: 083 3308535

Payment to be made via EFT to the following account:

Bank: ABSA

Account Name: Rape Wise

Account number: 4064976342

Branch code: 632005

An informed child, is an empowered child