ORDER FORM

FORM NUMBER:  ORDFRM.v1

P.O. BOX 143 - ESTACADA, OREGON 97023

TOY - BANKS - etc..

METAL/DIE CAST TOYS etc...

SOLD TO:

SHIPPED TO:

NAME

NAME

COMPANY

COMPANY

ADDRESS

ADDRESS

CITY

STATE

CITY

STATE

ZIP CODE

PHONE

ZIP CODE

PHONE

CATALOG/STOCK

DESCRIPTION

QUANTITY

X

PRICE

=

AMOUNT

NUMBER

X

=

X

=

X

=

X

=

X

=

X

=

X

=

X

=

X

=

X

=

TOTAL AMOUNT (ORDERED)

MAKE CHECKS PAYABLE TO: GENE SCOTT

+ SHIPPING/HANDLING*

= TOTAL:

TOY - BANKS - etc...

METAL/DIE CAST TOYS etc...

P.O. BOX 143

ESTACADA, OREGON 97023

*  SHIPPING/HANDLING ( $ 8.00 first ITEM + .$ 2.00 EACH ADDITIONAL

PLEASE ALLOW 6-8 WEEKS FOR SHIPMENT

MODE OF PAYMENT (CHECK ONE)

** CHECK or MONEY ORDER ENCLOSED

(** RETURNED CHECK(S) WILL BE SUBJECT TO A $25 CHARGE)

VISA

MASTERCARD

NAME ON CREDIT CARD

EXP. DATE

CREDIT CARD NUMBER

SIGNATURE

THANK YOU FOR YOUR ORDER

Up to 30 days from invoice for return,  Prices SUBJECT TO CHANGE WITHOUT NOTICE, Prices

SUBJECT TO STOCK ON HAND, ALL items are SUBJECT TO PRIOR SALE, ORDERS filled on a FIRST

COME BASIS, Printed PERSONAL or BUSINESS checks ACCEPTED, NO COD'S, Shipment is USP

GROUND, ALL RETURNS must be recieved at our office UNDAMAGED or they WILL NOT BE

ACCEPTED FOR REFUND/EXCHANGE, Shipping charges ARE NOT REFUNDABLE.