WHOLESALE
PURCHASE ORDER 		NOVA SWIMWEAR
 PO BOX 2377 NERANG EAST, 4211, QLD FAX: (07)5596 4772
CLUB/SCHOOL NAME: *
PHONE(W): * DELIVER TO:
PHONE(H): * PURCHASING OFFICER - NAME: *
PHONE(M): * DELIVERY ADDRESS: *
FAX: *
EMAIL: *
Pres. Name: * Tres. Name: * Date Required
Ph (W): * Ph (W): * *
* Indicates a required field
Qty Size Style Fabric Colour A Colour B Colour C Lining Printing
Additional Information:
I have read and accept all trading terms and conditions as stated in the Nova Swimwear price list and catalogue.
Signed By: *
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