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:
Pres. Name:	Tres. Name: Date Ordered Date Required
Ph (W):	Ph (W):
Qty Size Style Code Fabric Type Colour A Colour B Colour C Extra Lining Logo Placement
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: .............................................................