Model Airplane Club, California, USA
Model Airplane Club, California, USA

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Fax Order Form

Bill To:
Name 
Address 
  
City,ST,Zip 
Day Phone 
E-mail 
Ship To: (if different from billing address)
Name 
Address 
  
City,ST,Zip 
Qty Part No Name Price Total
         
         
         
Sub Total  
$25.00 U.S. states, all others $100          Shipping
   Total  
Applicable sales taxes are included in prices
-
Please Enter Total Payment
 
Method of Payment: (circle one)
Visa  Master Card   American Express   Check
$100 minimum order for credit cards
Card No 
Expiration 
Cardholder's Signature 
Telephone:
( 24hour message machine ) ( 818 ) 718-1685 and leave a message or office: (213 ) 747-7514 
Print this form, fill in your shipping and payment information, and send the completed form to us by:


Fax:
(213) 747-7724
Mail:
Roy Hanson, Black Sheep Treasurer,
21410 Nashville St.
Chatsworth, California 91311


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