PHONE - (201) 768-2702
FAX (24 Hours) - (201) 768-2702
E-MAIL: depotjohn@verizon.net


Weathered: YES NO
Rail: 2-Rail  3-Rail        
Date:____/____/____ Tel:( ____ )_____-______

SOLD TO:
_______________________________
_______________________________
_______________________________
_______________________________

SHIP TO: (same as sold to) _______________________________
_______________________________
_______________________________
_______________________________
QTY
ITEM
PRICE
AMOUNT
    
    
    
    
    
    
    
    
    
    
    
    
*NJ residents please add sales tax
SUB TOTAL
  
*TAX
 
 Freight Charges - Continental US $10.00
FREIGHT
 
 Others - Actual Cost
TOTAL
 
METHOD OF PAYMENT (NO C.O.D.)
Money Order       Personal Check
Credit Card VISA [ ]MC [ ]Discover [ ]
Card # [  ][  ][  ][  ] - [  ][  ][  ][  ] - [  ][  ][  ][  ] - [  ][  ][  ][  ]   
Expiration Date [  ][  ]   [  ][  ] (Mo/Yr)Bank # [  ][  ][  ][  ]   (MC Only)

Signature___________________________________________________