Print out this form fill in your request and fax or post to us
Fax 08 8364 1206 - International 61 8 8364 1206
All Prices quoted in Australian Dollars & US Dollars
Name On Tape 
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  100 for AU $43.50
                 US $39.50		 o  100 for AU $54.50
                 US $51.50 		 o 100 for AU $43.50
                    US $39.50		 o    100 for AU $54.50
                    US $51.50 
p  200 for AU $55.50
                 US $50.50		 p  200 for AU $67.50
                 US $63.50		 p    200 for AU $55.50
                    US $50.50		 p    200 for AU $67.50
                    US $63.50 
p  500 for AU $111.00
                 US $108.00		 p  500 for AU $135.00
                  US $130.00		 p    500 for AU $111.00
                    US $108.00		 p    500 for AU $135.00
                    US $130.00
 
Background & Letter Colours (Tick Preference)
White Background Black Background
Red Letters Green Letters White Letters
Blue Letters Black Letters
     
Typestyle (Circle Letter): Single Line
2L   
8M
   
4M    8S   
3L    5L   
6M    4L   
Double Line
21
 		   
 
Client Name:
Address:
Suburb: State: Postcode:
Telephone: (__) Date:  
Labels will be sent direct to purchaser within 7 to 14 days from receipt of order for Sew-On , and 14 to 21 days for Iron On. Payment must accompany order and should be sent to :
R. Draper & Co Pty Ltd ABN 61 007 931 106 Ph: (08) 8332 9344 - Fax: (08) 8364 1206
361 Greenhill Road, Toorak Gardens South Australia 5065
Method Of Payment Overseas airmail + US$5-00
Cheque/Money Order  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  Email:apparel@adelaide.on.net