Dave's Trains, Inc.: Customer Order Form

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 __________ Security Code _______

	Name on the Card ___________________________________________



BILLING Address	Name ______________________ Street _________________________
of Credit Card	City ________________________ State ________ Zip _____________

Catalog # Description & Condition Amount

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

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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