Book Order Form | Boeke Bestelvorm
Hello and thank you for your interest to order my book. Kindly complete this form to place your order. 
Please send any further queries to author@rianette.com. 
Your cyber wellness and online safety matters to me,
Rianette Leibowitz 

Hallo en baie dankie vir jou belangstelling om my boek te bestel. Vul asb die vorm in om jou bestelling te plaas en stuur enige ander navrae na author@rianette.com.
Jou kuberwelstand en aanlyn veiligheid is belangrik vir my,
Rianette Leibowitz

Sign in to Google to save your progress. Learn more
Email *
Name *
Surname *
Email to be used to confirm order *
Which book do you want to order 
Clear selection
How many books do you want to order 
Only for AFRIKAANS books Delivery options: 
I use PAXI and your package will be delivered to your nearest PEP or Tekkie Town.
 
Please indicate which option you prefer.  
Packages can contain 5 books per bag. 
 *
Delivery location: 
Please type the address of your nearest PEP/ Tekkie Town. You can look for the locations at https://www.paxi.co.za/points  

 *
I need your cell phone number for deliveries through PAXI to PEP/ Tekkie Town please. They can then inform you when your package is ready for collection. 
Price: Please calculate the price and indicate the total below

Book/s + your preferred delivery fee = TOTAL
 *
Payment: Take down the details below before submitting your order. 

Kindly send proof of payment to author@rianette.com 
 
Bank: FNB/RMB
Account Holder: Rianette Leibowitz
Account Type: FNB Gold Cheque Account 
Account Number: 62268000272
Branch Code: 250655
 
 *
Required
For Afrikaans books - may I sign your book? 
I'm happy to sign your book and to write a personal note to you or the person who the book will be gifted to. 
Please indicate which name/s I should include. 
 *
I'm curious - where did you hear about my book? *
Are you interested in receiving my monthly newsletter?
If you would like to book me as a speaker, please contact me at bookings@rianette.com
Any other notes?
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms