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Kepu Gas

Order Form

Kindly complete the form below. One of our attendants will confirm your order.
You can also reach us on:

www.kepugas.co.za
021 569 6094
066 419 9829
Collection: 455 Albert Road, Salt River (open 7 days per week)

https://goo.gl/maps/irSWqDqgD8RUcH2a6

Service Order Form (#3)

First Name

Last Name

Email

Phone Number

What size cylinder would you like to order?

9kg Cylinder @ R315

14kg Cylinder @ R490

19kg Cylinder @ R665

48kg Cylinder @ R1680

Choose one option

Collection at Salt River

Delivery: R60 per order

Delivery Address

Address Line 1

Address Line 2

Zip Code

Please add any notes here regarding your quantity

Do you have an empty cylinder?

Yes

No

Deposit per cylinder including VAT

9kg R517.50

14kg R632.50

19kg R690.00

19kg Forklift R805.00

48kg R1207.50

Do you have any questions?

How will you be paying?

Cash

Card

Snapscan

Please choose a date for delivery (no deliveries on a Saturday after 1pm. No deliveries on Sunday.)

Choose a preferred delivery slot

8am - 12pm

12pm - 5pm

Any special delivery requests?

Kepu inverted

Kepu Gas

455 Albert Rd, Salt River, Cape Town, 7925

Contact

+27 21 569 6094

+27 66 419 9829

Name

Email Address

Message

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