13511 Greywood Dr. Sugar Land, Texas 77498 Fax: 281-494-4633 E-mail: lsmodels@pdq.net www.lonestarmodels.com
INSTRUCTIONS: 1. PRINT THIS FORM 2. FILL OUT COMPLETELY- PLEASE PRINT LEGIBLY! 3. FOR CREDIT CARD PURCHASES, FAX FORM 4. FOR CHECKS OR MONEY ORDERS, MAIL FORM AND PAYMENT TO ADDRESS ABOVE NOTE: CHECKS OR MONEY ORDERS must be drawn on U.S. bank in U.S. funds.
ORDERED BY: (please print)		SHIP TO: (use only if different than "Ordered by:")
E-MAIL ADDRESS:_________________________________________(include for questions)

QTY	PART NO. / DESCRIPTION	UNIT PRICE	TOTAL
TOTAL OF ITEMS: ($10.00 minimum)
TX Residents add 8.25% Sales Tax
Add SHIPPING and HANDLING from chart below
TOTAL DUE:

Shipping Rates
USA- APO- FPO Minimum Postage- $5.25 $20.00 to $49.99- $5.25 $50.00 and up- $10.00	Canada Minimum Postage- $20.00 $20.00 to $49.99- $20.00 $50.00 and up- $20.00	Overseas Minimum Postage- $20.00

Credit Card Orders
Credit Card (circle one)	MASTERCARD    VISA
Card Number
Expiration Date	Signature:
Address your card is billed to if different than Ordered By: (for verification reasons)