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. 3/2/21: Shipping & Insurance Rates - Continental US:
--- $12 for orders under $100 ($27 for shipments to the Pacific Time Zone)
--- $20 for orders totaling $100 up to $299 ($35 for shipments to the Pacific Time Zone)
--- $28 for orders totaling $300 up to $499 ($43 for shipments to the Pacific Time Zone)
--- $40 for orders totaling $500 up to $999 ($55 for shipments to the Pacific Time Zone)
--- $50 for orders $1,000 or more ($65 for shipments to the Pacific Time Zone)
Sets, set boxes, transformers, large accessories: $20 Surcharge
Engines, sets, transformers, large accessories to Pacific Time Zone: $15 Surcharge
Alaska, Hawaii, Int'l orders: contact us for rates.
Total Purchases  
Shipping & Insurance  
Amount Subject to Tax  
NJ Residents: Sub-total x 6.625% Sales Tax  
TOTAL AMOUNT DUE  

Signature ________________________________________________ Date __________________

Special Instructions (if any): ___________________________________________________

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