If you are not an agent, there will be no obligation on submission of this form, until you have accepted the quotation that will be e-mailed to you. Please note that you can fax orders to (044) 532 7695 or 7765, should you wish to receive the quotation by return fax. No goods will be dispatched until such time as you have confirmed the transfer of the correct funds as quoted, by e-mailing the electronic deposit confirmation or by faxing the deposit slip. If there are any errors with your quotation or you require order assistance, please contact us on (044) 532 7695 or 7765, or orders@gaiaresearch.co.za

If you are an agent and do not indicate that a quotation is required, you are placing an official order by submitting this form, which may not be changed or returned after the goods have been dispatched. For quotation requests, there will be no obligation until you have accepted the quotation that will be e-mailed to you. Please note that you can fax orders to (044) 532 7695 or 7765, should you wish to receive the quotation by return fax. If you do not have a credit account with Gaia, please e-mail the electronic deposit confirmation or fax the deposit slip.