TalyPayroll Premium
Order
 Please note that this order will not be activated until payment is received. Please send
 proof of payment, with this form, to sales@talypayroll.co.za, or fax to (011) 706-8378.
 Please use your registered email address as your reference number.
 Account name  Taly Computer Solutions
 Bank  Standard Bank
 Branch  The Glen
 Account number  200048538
 Branch code  006005
 Company name   
 Register Email (used to register on TalyPayroll)   
 Contact person   
 Phone number   
 Invoice address   
    
    
    
    
 VAT number   
 Period to register from      
 Register to      
 Please choose employee pack
5 Employee pack           50 Employee pack      
75 Employee pack         100 Employee pack   
150 Employee pack         200 Employee pack   
300 Employee pack         500 Employee pack   
1000 Employee pack      
Total Employees  
  
 VAT (14%)
R
  
 Total amount
R
  
 Name    
 Signature    
 Date