$[snippet slug="Store-Testimonial"/]<section class="content white-bg"><div class="container"><div class="col-sm-12"><div class="content">Thanks for visiting us again. To take up your offer of your first month's storage space for only R1* please complete the form below.<br /><br /><table><tbody><tr><td>First name :<br /></td><td><input style="width:100px;height:22px;" type="text" /><br /></td></tr><tr><td>Surname :<br /></td><td><input style="width:100px;height:22px;" type="text" /><br /></td></tr><tr><td>Email :<br /></td><td><input style="width:100px;height:22px;" type="text" /><br /></td></tr><tr><td>Cellphone :<br /></td><td><input style="width:100px;height:22px;" type="text" /><br /></td></tr><tr><td>Preferred store :<br /></td><td><input style="width:100px;height:22px;" type="text" /><br /></td></tr></tbody></table><input style="width:100px;height:22px;" type="submit" /><br /><br /><select style="width:100px;height:22px;"> 1 2 3 </select><br />* Terms and conditions apply</div></div></div><p></p></section>

First name :
Surname :
Email :
Cellphone :
Preferred store :