1. Please Fill in Rental Agreement This Is to Secure Your Booking

RENTAL ORDER

Attention: ______Fax # ______

1. Please fill in Rental Agreement – this is to secure your booking. 2. Please return via fax to + 27 (0)12 481-0150 3. Procedures for Rentals is as follows: 3.1 Credit Card: – Credit Card Holder must Collect, with his/her ID Present and Credit Card. 3.2 Corporate Accounts: Please fax through Official Order with ID of Person Collecting. 3.3 Full Deposit: Cash or Cleared Bank Cheque or Cleared Electronic Transfer for unit value.

QTY: Refers to amount of equipment required, NOT how many days/weeks. X: Tick on the appropriate rate Daily/Weekly #: Refers to our internal Code for unit Enter start dates & End Dates Rental extended to: ______QTY EQUIPMENT X Daily Rate X Weekly Rate Unit Value Start Date Return Date # Projection Screen Portable 150.00 420.00 3,100.00 Video Projector Unit 1024 x 768 550.00 2,000.00 23,000.00 Video Projector Unit 800 x 600 500.00 1,900.00 17,000.00 Pentium II, Colour, CD Rom 250.00 483.00 6,000.00 Pentium III, Colour, CD Rom 450.00 900.00 10,000.00 Pentium IV, Colour, CD Rom 550.00 1000.00 15,000.00 GPS Unit 240.00 769.00 5,000.00 PCMCIA Network Card 50.00 130.00 789.00 PCMCIA Modems 50.00 130.00 789.00 Portable Printer 200.00 769.00 3,000.00 Digital Camera 260.00 779.00 4,395.00 Cell Phone and # 20.00 100.00 1,500.00 Extra Setups @ R150ph All Prices exclude VAT and are quoted in ZAR. All Notebooks are loaded with Win98/ME, and MS Office 2000 Pro (Word, Excel, Access, Power Point, Outlook). Any other (eg. email, fax) setups will be charged for at our standard rate of R 150ph Please return before 5pm on the Return Date. Full responsibility will pass to the Customer as soon as it has been collected/delivered. The Customer shall be liable for the Unit Value if Equipment is lost, stolen or damaged, we advise you insure it at these values, and you will be held liable. These Prices are COD (Cash) Prices and Include 15% discount, the discount will lapse if payment is not made within ___ days. This Rental Order is subject to our Rental Terms and Conditions, which are available on request.

TOTAL PRICE AGREED: R______EXCL VAT Sales Person: ______

Rental Area: Pretoria / Johannesburg / Cape Town / Bloemfontein / Nelspruit (circle applicable area)

Invoice Name: ______

Credit Card #______or Corporate Order Form or Full Deposit

Expiry Date: ______/______

Last 3 digits on back of Credit Card: ______Contact E-Mail:

Name: ______Authorised Signature: ______

Phone No: ______Cell No: ______