N A T I V E   F I S H   A U S T R A L I A           O R D E R   F O R M
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

                             NAME: ____________________________________
+-------------------------+
| Mail completed form to: |  STREET: __________________________________
|                         |
|  Native Fish Australia  |  CITY: __________________  STATE: _________
|  PO Box 162             |
|  Doncaster Vic 3108     |  POST CODE/ZIP: _____________
|  AUSTRALIA              |
+-------------------------+  COUNTRY: _________________________________

                             E-MAIL: __________________________________

+-------------------------------------+-------+--------+------+-------+
|                                     |       |        |SIZE/ |       |
| ITEM                                | PRICE | NUMBER |COLOUR| TOTAL |
+-------------------------------------+-------+--------+------+-------+
| Embroidered NFA Cloth Badge         |  4.00 |________|######|_______|
| Metal NFA Lapel Badge               |  4.00 |________|######|_______|
| NFA Bumper Sticker                  |  0.50 |________|######|_______|
| Ponde book                          |  7.50 |        |######|       |
+-------------------------------------+-------+--------+------+-------+
All amounts in Australian currency (AUD$)         ORDER TOTAL |       |
[At time of writing AUD$1.00=US$0.58 Approximately]           +-------+
Payment may be made by Australian cheque or     POST/HANDLING |       |
money order, or by international Money Order                  +-------+
in Australian Currency (AUD$)                  TOTAL ENCLOSED |       |
                                                              +-------+
Postage & Handling: (Overseas orders sent by Airmail only on Request)
 Orders without clothing:       Aus -  $2   O/S -  $4  Airmail -  $6 
 One item of clothing:          Aus -  $5   O/S - $15  Airmail - $20
 Two or more items of clothing: Aus - $10   O/S - $20  Airmail - $30
 __
|__| Please tick here for airmail delivery (outside Australia only)
 __
|__| Cheque/Money Order Enclosed
                  __        __              __
Please charge my |__|Visa  |__|Mastercard  |__|Bankcard (Australia Only)

                 with the amount of AUD$________

Card Number _ _ _ _   _ _ _ _   _ _ _ _   _ _ _ _   Exp Date ___/___

Name on credit card ___________________________________________________

          Signature ___________________________________________________