Fill out the fields below, then
print the form. Mail or Fax the form to us. All fields
are required to process your order. Fax number is (919) 269-0977. ** Order form for U.S.A. orders only.
Minimum order $20.00 plus shipping. Contact us for more information. Call
East R/C at (919) 404-1522 to place orders by telephone.
Mail to: East R/C,
Inc.; 106 E. Vance St.; Zebulon, NC 27597
Your name:
Your email address:
Your daytime phone number:
Shipping Address:
Street/ PO Box
City State
Zip Code
Payment Type:
Personal
Check Money Order/Certified Check
(Orders will not be shipped until check has
cleared the bank)
Credit CardType:
VISA MasterCard
American Express Discover
Credit Card # Expiration
Date (MM/YY)
Credit Card Security ID
This is the last 3 digits printed on the back
of your VISA or MASTERCARD credit card on the signature line, or the 4
digits printed on the front of your American Express card. This is a
security feature required by your bank and is used to help protect you
against unwanted credit card use or fraud.
Quant.
Item
Price each
Total Cost
North Carolina Sales Tax 7%
(NC residents only)
Shipping (Orders
$200 or more- FREE SHIPPING in the USA)
$18.00
TOTAL AMOUNT OF ORDER
Signature of Cardholder
_______________________________________
East R/C, Inc.
- 106 E. Vance St. - Zebulon, N.C. 27597
Phone (919) 404-1522 - Fax (919) 269-0977
Retail Showroom
