Tickland

1355 Telephone Rd

GINGIN  WA  6503  Australia

E-mail:  scrubnud@yahoo.com.au  

Order No:

22 November 2007

Purchaser details:

name:

 

postal address:

 

city or town

 

state:

 

post or zip code:

 

country:

 

e-mail:

 

 

 Payment method: 

 CASH

 CHEQUE

 MONEY ORDER

 DRAFT

Please nominate your preferred method of payment.

Please make all Cheques, money orders or drafts payable to “P Briggs”

Your Trangle order will be dispatched immediately payment is received.

 

Order Details:

Cost per Trangle:  $15.00

Colour

Qty

Hip Size

TOTAL

Red

 

 

 

Black

 

 

 

Silver Leopard

 

 

 

 

 

 

 

 

 

1