Ordering Information
Please print carefully
|
|
Company Name
|
|
Ordered By
|
|
Address
|
|
City/State
|
|
Zip
|
|
Phone Number
|
|
FAX or e-mail (optional)
|
|
P.O. Number (optional)
|
|
[ ] Alternate Delivery Address
(work address, etc - where post office
delivers)
|
|
Name
|
| Address
|
| City/State
|
|
Payment Information -
please print carefully
Note Method of Payment
|
|
[ ] Check or Money Order (Payable to Cast Scale Models)
|
|
[ ] Cash
|
|
[ ] Credit Card: MasterCard, Visa, or Discover
|
|
Card #:
|
|
Card Verification # (On the back of your credit
card, the last three digits of code in your signature area):
|
|
Expiration Date (MM/YR):
|
|
Product Information use product tables on the appropriate product page to fill out
|
|
Scaled Product 1 Ordered
|
|
Product Name
|
|
Length Needed
|
|
|
Quantity
|
|
Price Each based on Quantity
|
$
|
|
Total Amount for Product 1
|
$
|
|
Scaled Product 2 Ordered
|
|
Product Name
|
|
Length Needed
|
|
|
Quantity
|
|
Price Each based on Quantity
|
$
|
|
Total Amount for Scaled Product 2
|
$
|
|
(Shipped within Indiana)Tax (or Tax Exempt #)
|
|
|
Shipping Charge (Call Toll Free +1 260.740.8704 for shipping quote)
|
$
|
|
Total Enclosed (minimum of $20.00 purchased required)
|
$
|
Copyright 2012, Cast Scale Models
|