KOALASWIMSUITS
Where Swimwear Dreams Come True! 

On-Line Order Form Please Complete The Following And 
Fax to: 818-780-5170 
OR U.S. Postal Mail to: Koala P.O. Box 5519 Sherman Oaks, 
CA 91413-5519 

Style & Size Information 
• Men's suits - order by waist size in inches 
• Suits available only in colors shown or stated 
• Rear cuts: Thong is 1" or less, Micro is 2" to 4", Minimal is 4" to 6" 
• Suits are non-lined for maximum fit and comfort 
• 21 years of age or over for ordering 
• We accept US dollars, Mastercard and Visa. 
• Prices subject to change 

Item
Number		 Item
Description		 QTY Color Size Price
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Total Merchandise ________
CA Residents Add 8.25% Tax ________
Shipping And Handling ________
Total Payment ________

Shipping  (For U.S. Address Only)
• U.S. Shipping charges are $4.00 For 1-3 Suits/Videos or 
  $5.00 for 4 or more Suits/Videos.
• Please add $7.00 for foreign orders

Payment Method: Mastercard: [ __ ]       Visa: [ __ ]
Card Number: _______________________________________
Expires: _______________________________________
Ship To Address: Name: _______________________________________
Address1: _______________________________________
Address2: _______________________________________
City: _______________________________________
State: _______________________________________
Zip: _______________________________________
Phone: _______________________________________