LRT Price And Order Form - Logic Rail Technologies
LRT Price And Order Form - Logic Rail Technologies
LRT Price And Order Form - Logic Rail Technologies
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Ship To<br />
LOGIC RAIL<br />
TECHNOLOGIES<br />
TM<br />
<strong>Order</strong> <strong>Form</strong><br />
"Sophisticated<br />
Model <strong>Rail</strong>road<br />
Electronics"<br />
Name<br />
Date<br />
Street Address<br />
Method of Payment<br />
Check or Money <strong>Order</strong> (U.S. funds!)<br />
COD (U.S. only; extra charge)<br />
City State Zip Credit Card (circle one VISA/MC/AMEX/DISC)<br />
Part # Description Qty Cost Each Total Cost<br />
Texas residents add 7¼% sales tax<br />
Add $10 for COD orders (U.S. only!)<br />
Shipping Charges<br />
U.S. 6% of order subtotal ($7.00 minimum)<br />
International: 15% of order subtotal ($20.00 minimum)<br />
Subtotal<br />
TX tax<br />
S & H *<br />
COD<br />
Credit (- )<br />
Total<br />
Credit Card Information<br />
Credit Card Number<br />
Full name on card<br />
Phone Number (optional; in case we have a question)<br />
Exp. (MM/YY)<br />
CVV (3 or 4 digit code)<br />
Send your order to: <strong>Logic</strong> <strong>Rail</strong> <strong>Technologies</strong> Call in your credit card or COD order to:<br />
21175 Tomball Pkwy (281) 251-5813<br />
Suite 287<br />
<strong>Order</strong> from our secure website at:<br />
Houston, TX 77070<br />
http://www.logicrailtech.com (click on Purchase)
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