Dave's Trains, Inc., PO Box 367, Martinsville, NJ 08836-0367
Phone 732-271-5124, Fax 732-271-9285, E-mail: icruzina55@aol.com

Customer Order Form

SHIPPING Address:
Name __________________________________________________________
Street __________________________________________________________
City, State, Zip____________________________________ , _______ , ____________

Phone:

Home (_____) - ______ - ________ Work (_____) - ______ - _________
Fax # (_____) - ______ - ________ Mobile (_____) - ______ - _________
E-mail Address: __________________________________________________________

Payment:

Personal or business check ______ ; Money order or certified check _____
Credit Card: Visa ____ MC ____ Diners ____ Discover ____ AMEX ____
Card # _________________________________ Exp. Date __________
Name on the Card ___________________________________________
BILLING Address Name ______________________ Street _________________________
of Credit Card City ________________________ State ________ Zip _____________

Catalog #Description & ConditionAmount
   
   
   
   
   
   
   
   
Eff. 1/15/15: Shipping & Insurance Rates - Continental US:
--- $12 for orders under $100
--- $18 for orders totaling $100 up to $299
--- $25 for orders totaling $300 up to $499
--- $35 for orders totaling $500 up to $999
--- $45 for orders $1,000 or more
Sets, transformers, large accessories: $8 Surcharge
Alaska, Hawaii, Int'l orders: contact us for rates.
Total Purchases  
Shipping & Insurance  
Sub-total  
NJ Residents: Sub-total x 6.875% Sales Tax  
TOTAL AMOUNT DUE  

Signature ________________________________________________ Date __________________

Special Instructions (if any): ___________________________________________________

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