Musmate Products Order Form for Australia and New Zealand  
Product Harness Size Shoe Size Quantity Price (A$) Total
Complete Set for the Left Leg       205  
Complete Set for the Right Leg       205  
Complete Set for Both Legs       349  
Product Size Colour Quantity Price (A$) Total
Left Leg Shoulder Harness       82  
Right Leg Shoulder Harness       82  
Both Legs Shoulder Harness       139  
Shoulder Pad       14  
Elastic Assembly       39  
Shoe Harness for Left Foot       69  
Shoe Harness for Right Foot       69  
Shoelace Connector       14  
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Delivery Charge (less than A$100, A$20; otherwise A$60)  
Total______________________________________________________________ _________
Name:
Address:
Telephone Number (in case of queries):
E-mail Address (in case of queries):

Payment
Please make cheques payable to Musmate Ltd.

Send Payment to:
Musmate Ltd, P.O.Box 3976, Bath, Somerset, BA1 0DF, UK. Telephone 0845 094 4674, fax 0845 094 4674,
e-mail
aspac@musmate.co.uk
A company registered in England and Wales, No. 5671724.