Email: Alex's
Scribbles or post or fax this order to:
Alex's Scribbles
P.O. Box 91, Wellers Hill, Queensland 4105 AUSTRALIA
Fax: Int'l Code (617) 3201 1353 or phone: Int'l Code (617) 3201 1353
Please supply me with .......... Koala trouble mouse pads details as follows:
Quantity: Cost: (@Au$9.75 per mousepad) (US$8.50 per mousepad) ....... ............................. ....... ............................. TOTAL: Au$....................................... Postal charges included. TOTAL: Au$.......................................Personal Details: Title: ____________________Surname:________________________________________
Given Names:_____________________________________________________________
Postal Address :___________________________________________________________
________________________________________Postcode_________________________
Phone No. (Wk):__________________________(A/Hrs):___________________________
Please accept my payment for ........... Koala trouble t-shirt iron-ons and/or ........... mousepads totalling: Au$.............................
Payment Details
I wish to purchase the Koala trouble t-shirt iron-on/s by:
Bankcard ..... Mastercard ..... Visa ..... Cheque ..... Money order .....
Card No:
......................................................................................
Full name on Card
__________________________________________________________
Card expiry date ....../....../......
Signature:.................................................
Date:.................................