Brass Model Trains

I've been working on the Railroad

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RESERVATION AND ORDER FORM
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I've been working on the Railroad

QUANTITY

MODELS BEING ORDERED

 AMOUNT ENCLOSED
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QUANTITY

MODELS BEING RESERVED

DEPOSIT ENCLOSED
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I've been working on the Railroad

__________________________________ SUB TOTAL
__________________________________ SALES TAX
NY Residents only

TOTAL: ________________________________________

REFUND AT ONCE IF NOT AVAILABLE __________
OKAY TO BACK ORDER __________

REFUND IF NOT AVAILABLE IN 30 DAYS

 __________

I've been working on the Railroad

CHARGE INFORMATION

AMEX --- VISA --- MASTERCARD ACCEPTED
CARD TYPE
AMEX ___________
VISA ___________
MASTER CARD ___________
CARD NUMBER ____________________________________________
EXPIRATION DATE ____________________________________________
AMOUNT TO BE BILLED ____________________________________________
SIGNATURE ____________________________________________
PHONE NUMBER ____________________________________________
DATE ____________________________________________


I've been working on the Railroad

ORDERED BY
NAME: ________________________________________________________________
ADDRESS: _____________________________________________________________
CITY: __________________________________________________________________
STATE: __________________________________________________ ZIP: _________
COUNTRY: _______________________________________________ DATE: _______


Caution: Departing Trains ahead

MAIL THIS FORM AND THE REQUIRED PAYMENT TO:

 MTS IMPORTS, INC.
PO BOX 50, MIDDLETOWN, NY 10940