RETAIL
PURCHASE ORDER
NOVA SWIMWEAR
PO BOX 2377 NERANG EAST, 4211, QLD
FAX: (07)5596 4772
NAME:
PHONE(W):
DELIVER TO:
PHONE(H):
NAME:
PHONE(M):
DELIVERY ADDRESS:
FAX:
Date Ordered
Date Required
EMAIL:
Qty
Size
Style Code
Print
Price
Sub Total
Postage
Grand Total
I have read and accept all trading terms and conditions as stated in the Nova Swimwear price list and catalogue.
Signature: .............................................................
Signed By: .............................................................