99 Car Kit Order Form

Burlington Route Historical Society
1999 Model Car Project
Internet Order Form

Type in all the required information, print the form on your printer in landscape mode, send it with your check or money order to:

BRHS
Model Projects Dept. I
P.O. Box 456
La Grange, IL 60525

Name	Quantity
Shipping Address (Must be a street address for UPS delivery)	Car 1A - CB&Q #10219 w/white stripe Car 1B - CB&Q #10266 w/white stripe
	Car 2A - CB&Q #10278 w/out stripe
City State Zip	Car 2B - CB&Q #10285 w/out stripe
Total number of cars ordered :	X __________ (price).......................... Set of 4 cars (all 4 numbers) $58.00 4 or more cars $15.00 each 1-3 Cars $16.00 each
Add Shipping	& Handling $5.00 Domestic $8.00 Overseas.... (Over 4 cars add $1 per each additional car)
The BRHS reserves the right to fill orders at our	SUB TOTAL
choice of car number at time of shipment.	Illinois Residents Add 7.75% State Sales Tax
	TOTAL