L&HR 90 Class Consolidation Order Form

Name_____________________________________ Phone ( ______ ) ____________ ext._______

ADDRESS____________________________________________________________________

E-Mail Address__________________________

Base Cost $ 700.00

Road # (check one or more) 90______ 91______ 92______ 93______

OPTIONS: 1) Digitrax decoder $40.00 or
2) Soundtraxx $140.00
3) Light weathering $20.00 or
4) Heavy weathering $40.00
5) Blackened side rods $25.00

SUBTOTAL $____________

S&H in lower 48 $17.00

PA RESIDENTS add 6 % of all thru s&h $___________

Grand Total $___________________

Please print out this form, and complete by hand. Forward with 25 % deposit. A receipt will be issued for your records. Thank You.

By: _________________________________________________ Date_______________________