Tom Hiester's Order Form

Tom Hiester's Miniature Cars Order Form

Phone Your Order To:	FAX Your Order To:	Mail Your Order To:	Make Checks and Money Orders Payable To:
(610) 796-0490	(610) 796-1773	Tom Hiester's Miniature Cars 256 Old Lancaster Pike Reading, PA 19607-2371	Tom Hiester

Phone Your Order To:

FAX Your Order To:

Mail Your Order
To:

Make Checks and
Money Orders
Payable To:

(610) 796-0490 (610) 796-1773
Tom Hiester's Miniature Cars

256 Old Lancaster Pike

Reading, PA 19607-2371
Tom Hiester

	ORDERED BY	SHIP TO
Name	:	:
Address (line 1)	:	:
Address (line 2)	:	:
City, State or Prov.	:	:
Postal Code (Zip)	:	:
Country	:	:
Phone, FAX	:	:
Company Name	:	:
Phone, FAX	:	:
E-mail Address	:	:
Type of Business	:	:

	Item No.	Qty.	Description	Cost Each	Total
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				Subtotal	_
			PA residents please add 6% sales tax to all orders.	Sales Tax	_
			Shipping is $4.00 for all USA orders and $6.00 for all foreign orders. Shipping is $5.00 for all USA orders if you are ordering the 1/24^th scale Modified Memories die-cast cars. E-mail us for international shipping options.	Shipping	_
			Make checks and money orders payable to Tom Hiester.	Total Order	_

METHOD OF PAYMENT	AMOUNT ENCLOSED
[ ] Check	$
[ ] Money Order	$
Important! Checks and Money Orders must be made payable to Tom Hiester only. Checks and Money Orders NOT payable to Tom Hiester will be returned to you, delaying your order.

Last Updated: 03 February 2003