Use Multiply 
to repeat drawings or actions automatically by reflecting across and/or down, and by rotating. Symmetrical designs can be created quickly and easily. All changes in the drawing, such as adding, editing, pasting and removing lines and groups are multiplied.
You can use the select tools, and Group and Ungroup, while Multiply is active.
Multiply can reflect or rotate images. Existing objects will not be affected, but the selected objects or any new object that is either drawn or pasted in will be reflected or rotated. The blue Multiply reflection lines are shown on the canvas when Multiply is enabled.
Try drawing and inserting designs while Multiply is active.
Click Enable Multiply 
on the Multiply tab to turn Multiply on, and click Apply Multiply
to place the multiplied designs on the canvas.