Blackstone Valley Printable Orderform

Blackstone Valley's Printable Order Form
[Please Print]

Your Name :_______________________________________
Address:________________________________________________
City:_____________________________State:_____Zip:__________
Phone:_______________________ Fax:_____________________
e-mail:__________________________________________
Visa ____ MasterCard ____ Discover____ Expiration Date: ____/____/____
3 digit security code:________ Signature: ______________________________________
Card Number: ___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/

Description	Item #	Qty.	Price Each	TOTAL PRICE








SHIPPING				$7.00
SUB-TOTAL
WA TAX (8.6%)
TOTAL

Shipping Charges
All orders shipped in the continental U.S.A. are $7.00

Send this completed form along with
a check or money order to:
Blackstone Valley Railway
8908 108th St. NE ; Arlington, WA 98223

Questions? Call us at 1-888-811-1011 or e-mail us at sales@blackstonevalleyry.com