With this form you will request to advertising on our new Gariep-route Brochure
The successes of your request will depend on content, availability and payment.
It does not automatically imply that you'll have a spot.
Limited availability

For the new brochure
 
I want a listing ad for R150
Select your town:
Establishment name:
               
Name & Surname:
Tel:
 
Fax:
Cell:
Website:
 
Email:
               
Form wil not be send if this field is empty.
I acknowledge that this is a request to be added to the brochure and does not imply that I
will have a spot on it. I understand that first come first served will also apply.
   
You must continue with this part of the form before submitting, only if you are requesting a block ad .
Address:
 
GPS:
     
Directions:
   
Rates:
     
Description:
Only
50 words
               
For a block ad we wil need an emailed photo of your establishment later on.
     
   
In order to block spam on our site and for your security, please enter the words in red.
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Please follow up on this request.