Print out this form, fill in your request and fax to (08) 8364 1206    Overseas Clients 61 8 8364 1206
Please Note - All Prices are quoted in Australian Dollars and US Dollars
Current rate of exchange approximately : 85 US cents = One Australian dollar.
                                                                    - 40 UK pence = One Australian dollar.
Name On Tape (use BLOCK LETTERS)
SINGLE LINE
DOUBLE LINE
       
Quantity (Tick Amount)
Single Line (Name Only) Double Line (Name & Address/Phone)
Sew On Iron On Sew On Iron On
o 50forAu $32.90
            US $29.75		 o50 forAu $39.50
             US $34.10		 o50 for Au $32.90
              US $29.75		 o50 for Au $39.50
              US $34.10
p 100 for Au $39.50
                 US $35.70		 p 100 forAu $51.50
               US $46.50		 p 100 for Au $39.50
               US $35.70		 p 100 for Au $51.50
                US $46.50 
p 200 for Au $51.50
                 US $46.50		 p 200 forAu$64.75
              US $55.60		 p 200 forAu $51.50
                US $46.50		 p 200 for Au$64.75
                US $55.60
 
Background & Letter Colours (Tick Preference)
White Background Black Background
Red Letters Green Letters White Letters
Blue Letters Black Letters
     
Typestyle (Circle Letter): Single Line
A
E
C F
D G
S H
Double Line
H
A		 H
H
 
Client Name:
Address:
Suburb: State: Postcode:
Telephone: (__) Date:  
Labels will be sent direct to purchaser within 21 days from receipt of order for Sew-On , and 28 days for Iron On. Payment must accompany order and should be sent to :
R. Draper & Co Pty Ltd A.C.N. 007 931 106 Phone (08) 8332 9344 Fax (08) 8364 1206
361 Greenhill Road, Toorak Gardens, South Australia 5065
Method Of Payment  Post & Packing Aust $3-00 Overseas airmail US$5-00
Cheque/Money Order  Bankcard  Visa  Mastercard
Credit card expiry date :
Card number : 
Card holder's name: Mr/Mrs/Miss/Ms:
Card holder's signature:
Please note : We can only accept overseas payments by Credit Card, as the Australian Banks
       charge excessive rates to process overseas cheques and money orders.

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R.Draper & Co Pty Ltd, 361 Greenhill Road, Toorak Gardens, South Australia. 5065 Updated 2nd Feb 2004
Phone: 61 8 8332 9344   Fax 61 8 8364 1206   Email:apparel@adelaide.on.net