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:.................................

Please note delivery should take no more than 30 days, subject to shipping and postage delays.