ORDER FORM
Order through the mail:
fill the form and print it, and send it with a check to:
Remy Champt - 907 Webster Street - Traverse City, MI 49686 - USA
(write the check to Remy Champt)
Please select
X
Please fill in
RMS Titanic
$60
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NAME
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Queen Elizabeth
$95
.
ADDRESS
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Queen Mary
$95
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CITY
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Stella Marris
$75
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STATE
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SS America
$95
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ZIP
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E-MAIL
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..
PHONE
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PURCHASE AMOUNT
.
.
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SHIPPING (see note)
.
.
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TAXES (see note)
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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.
Comments:
