L & NE E 14 CONSOLIDATION ORDER FORM

Name__________________________________ Phone ( _______ ) ______________________ ext.______

ADDRESS________________________________________________________________________

E-Mail________________________________ Date______________________

Road number: Check off one, or both : 304______ 305______

Base price $700.00

Options: 1) Digitrax decoder $40.00 or……
2) Soundtraxx T'sunami decoder $140.00
3) Light weathering $20.00
4) Heavy weathering $40.00
5) Blackened side rods and valve gear $25.00

SUBTOTAL $_________________________

S&H (lower 48) $17.00

PA Residents 6 % of above, incl s & h, sales tax_____________________

GRAND TOTAL $ _____________________________

Deposit of 25% of grand total required. We will contact you 2 weeks before construction scheduled to start, balance due at that time. We issue receipt for your records.

PRINT THIS ORDER FORM, COMPLETE BY HAND, AND SEND WITH FUNDS. THANK YOU.

BY: ______________________________________ Date _________________