Print the order form, fill it out and send or fax it to the following adress.
You can also download it and send it filled out as an attachment to the email address below.

Dan Reed
18641 East Powers Pl.
80015 Aurora Co
USA
email: rmssu@comcast.net

Name:

 

Prenam:

 

Street &Housenumber:

 

City:

 

Postcode:

 

State & Country:

 

phonenumber:

 

Email :

 

I would like to order the following TITANIC-Kit Items:
(Write 0 in "Quantity" if you don't want this item.)

#

Item

 Price Each

Quantity

Total Price 

1.

 Hull-Set

 US$ 500.00

 

 

2.

 Funnel, Vent & Lifeboat-Set

 US$ 300.00

 

 

For postage please send email to Dan Reed!
 

Postage

US$ _______.____

Subtotal

US$ _______.____ 


 

Date 

Signature 

 


 __________________________

You will get an answer as soon as possible to figure out the methode of payment.