Coast Rocketry Order Form
20230 42nd Ave, Langley B.C. Canada. V3A 3A5 Phone (604) 530-5411 or Fax (604) 530-7447.
Print out this page and mail or fax it to Coast Rocketry. All order information will be kept in confidence for Coast Rocketry and will not be passed on to any other parties. Coast Rocketry will calculate all applicable taxes and shipping charges and will then contact you, usually by phone for your approval. Orders may be paid by PayPal, credit card or money orders and are normally shipped next working day.
Name: First: Last: Email (required for PayPal) :
Home Address (required if not a business): Street: City:
Province / State: Postal Code / Zip:
Phone numbers including area code: Home (required if not a business): Business:
Shipping Address if Different Street: City:
Province / State: Postal Code / Zip:
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Unit Price |
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Coast Rocketry will add all applicable taxes and shipping charges and will then contact you, usually by phone for your approval. |
Sub Total |
$ |
Payment Method: (please circle one) PayPal / Visa / MasterCard / Money Order
Full Card Number: ____________ - ____________ - ____________ - ____________ Expiry Date: month ___________ year 20 _____________
