Please print this form out and send to address at the bottomof the form.

Shipping Information (Please Fill Out Completely)

Name
Address
City
State
Zip
Phone	(         )

Method of Payment (Check One)

Check or Money Order Enclosed

VISA / MasterCard (Circle One)

Card #
Exp. Date
Signature

Order Form (Please Fill Out Completely)

Item Description	Qty	Price
Indiana Residents add 5% Sales Tax		x .05
Subtotal		$
Shipping & Handling for All Orders
Under $45 (add $6.00)		$
$45 to $75 (add $8.00)		$
Over $75 (add $10.00)		$
Total		$

To place your order contact us at:

National New York Central RR Museum
PO Box 1708
Elkhart, IN 46515

Phone: 574-294-3001
Fax: 574-295-9434
Email: artscul@michiana.org (non-secure server, please use caution when ordering)

Don't See What you want! Call us, items can be special ordered!