Subject: Africa Adventure Travel Directory Order
From: [required-email]
To: sonnet@africa-adventure.org

[required-yes] Yes, I `d like to order one free copy of the latest Africa Adventure™ Travel Directory. I will pay the shipment fees via Credit Card and request you to contact me via E-mail for payment details.

SAR 35-00 per copy, for shipments within South Africa
SAR 115-00 per copy, for shipments outside South Africa
		
Name:			[required-name]
E-Mail:			[required-email]
Address:		[required-address]
Country:		[required-country]
No of copies		[required-amount]
Message:		[msg]