SPEED CITY ORDER FORM
*** Money orders only ***
To Order: Print this page, Fill out Form and make payableTo:
Scott Kapellusch
30528 Yosemite Drive
Castaic, CA. 91384

Your Name_______________________________________________

Address__________________________________________________________

City___________________________________State________Zip____________

Phone #___________________ Email address___________________________

************************* Do not use item numbers *********************************

Quantity_____Item____________________________Price Each______Total______

Quantity_____Item____________________________Price Each______Total______

Quantity_____Item____________________________Price Each______Total______

Quantity_____Item____________________________Price Each______Total______

Quantity_____Item____________________________Price Each______Total______

Quantity_____Item____________________________Price Each______Total______

Quantity_____Item____________________________Price Each______Total______

Quantity_____Item____________________________Price Each______Total______

Quantity_____Item____________________________Price Each______Total______

Sub Total ....................................................... $ ......................

(Calif. Residents add 9.75 % Sales Tax ...... $ ......................

Shipping & Handeling .................................. $ ......................

Total ............................................................... $ ......................

Orders outside of U.S. and Canada, contact us for shipping charges: skmodeler@sbcglobal.net
U.S. Shipping Chart: Canada Shipping Chart:
Orders under $27.00-------- $7.00 Orders under $27.00------- $12.50
$27.01 to $120.00------------ $9.00 $27.01 to $120.00------------ $15.50
$120.01 to $180.00---------- $15.00 $120.01 to $180.00---------- $30.50
$180.01 or more -------- Contact us for shipping costs. $180.01 or more------ Contact us.