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) 269-0977 FAX to place orders by telephone.
Mail to: East R/C,
Inc.; 112-C n. Church St.; Zebulon, NC 27597
Your email address:
Your daytime phone number:
Street/ PO Box
Check Money Order/Certified Check
(Orders will not be shipped until check has
cleared the bank)
American Express Discover
Credit Card # Expiration
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.
North Carolina Sales Tax 7%
(NC residents only)
$200 or more- FREE SHIPPING in the USA)
TOTAL AMOUNT OF ORDER
Signature of Cardholder
East R/C, Inc.
- 112-C n. Church St. - Zebulon, N.C. 27597
- Fax (919) 269-0977