Healthy Foods, Healthy Supplements, A Healthy You!

Sarita B Banitz

Nutrition and Supplemental World

Consultation file

This page needs to be completed with all the required details.  The suitable payment needs to be made to the suitable account.

COSTING STRUCTURE

OPTIONS—MEDICAL AID OR CASH FEES

TIME

PRICE

 

30 MINUTES

 FEES ARE INACCORDANCE WITH NHPSL R60 CASH FEE PAYABLE UPFRONT

R170 PAYABLE UPFRONT

R90 PAYABLE UPFRONT

Subtotal:

Co-Payment

Total:

Name:

Address:

Phone: all numbers

E-mail:

Method of Payment

BANKING DETAILS: Nedbank Centurion (162 145)  account number: 1621 138 348.

YOUR NAME &SURNAME IS YOUR REFERENCE !