ORDER FORM
Please select
  
Please fill in
Fitzgerald/strb
$80
Fitzgerald/port $95
Anderson
$95
M. E. McLachlan
$75
S.S. Curry $60
Marygold
$55
Northland $95
City of Erie $95
South American $60
Tashmoo $95
Western States $95
Greater Detroit $95
SS Badger $75
Lightship 51 $95
John McWilliams $95
Columbia-boblo $105
Henry Streinbrenner
$95
NAME
ADDRESS
CITY
STATE
ZIP
E-MAIL
PHONE
CREDIT CARD
CREDIT CARD #
EXPIRATION DATE
PURCHASE AMOUNT
SHIPPING (see note)
TAXES (see note)
TOTAL AMOUNT
Shipping: free in the USA. If ship outside the USA please add 15% to the purchase amount.
Taxes: Michigan residents please add 6% to the purchase amount.
Order through the mail: fill the form and print it, and send it with a check to: Remy Champt - 614 Hastings Street - Traverse City, MI 49686 - USA (write the check to Remy Champt)
Comments: