J A HURLEY WORLD-PRODUCTS Order Form

PRODUCT ORDER FORM
J A HURLEY WORLD PRODUCTS - 7009 15th St. N - St. Petersburg, Florida 33702 USA
* Print Clearly, then FAX or MAIL This Form With Your Merchandise Order 813-882-9216 *
CLICK HERE IF ORDERING MODEL AIRCRAFT ONLY

SOLD TO (Name):	SEND TO:(If Different Address)
Preferred Customer ID:	Name
Address	Address
Apt	Apt
City	City
State/Prov.	State /Prov.
Zip/Postal Code	Zip/Postal Code
E-Mail Address	E-Mail Address
Phone	Phone
FAX	FAX

Qty	Stock #	Product Description	Color/Size	Price	Total Price
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				Subtotal	$
Enter Your Preferred Member ID:_________				10% Preferred Customer Discount	$
Please Send Me Your Large Color Catalog				Add $5.00	+
Please backorder out of stock items and ship when ready? ____Yes ____No				Shipping*	+
Please Enroll Me In Your Preferred Customer Club				$20.00 Membership	+
Check/MO____ Visa____ Mastercard____ Amex____ Account No#:_______ - _______ - _______ - _______ Exp Date______ Signature:_______________________				Florida Residents add 7% Sales Tax	$
OFFICE USE ONLY: Invoice:____________ Shipping Date:___________				TOTAL DUE	$

PAGE 2

*USA Shipping and Handling Fee Chart
These charges represent only a part of the actual costs. We pay the rest for you!
up to $14.99...........................add $4.35
from $15.00 to $19.99...........add $5.35
from $19.99 to $24.99...........add $5.65
from $25.00 to $29.99...........add $6.45
from $30.00 to $34.99...........add $7.05
from $35.00 to $39.99...........add $8.00
from $40.00 to $44.99...........add $8.80
from $45.00 to $49.99...........add $9.60
over $50.00..........................add $10.25

International Orders Add $5.00 to Above Rates
All Orders Payable in U.S. Dollars (USD)

Currency Exchange - An International Monetary Converter

YOU MAY FAX CREDIT CARD ORDERS 24HR TO USA AT 1-813-882-9216

BY MAIL - PLEASE MAKE CHECKS OR MONEY ORDERS PAYABLE TO
J A HURLEY WORLD PRODUCTS
7009 - 15th St. N.
St Petersburg, Florida 33702 USA

ALLOW 3-4 WEEKS FOR DELIVERY
PLEASE - We Receive Orders From Around The World - Don't Forget to provide us with your E-mail address (if you can) in the event we must contact you regarding your order. We won't give it out!

QUESTIONS - DROP US A NOTE dealers@gte.net

RETURN TO OUR STORE LOBBY
© 1997 J A HURLEY