Steel Bridge Order Form

**Steel Bridge Order Form**
ITEM	DESCRIPTION	#	@ each	AMOUNT
No. 114S	Silver Truss Bridge	___	$35.00	______
No. 114B	Black Truss Bridge	___	$35.00	______
No. 114G	Green Truss Bridge	___	$35.00	______
No. 215	Plate Girder Bridge	___	$25.00	______
No. 215W	Plate Girder Bridge with Stanchions	___	$35.00	______
No. 1S	Bridge Stanchions	___	$10.00 pr	______
No. 1D	Dual Stanchion for joining 2 bridges	___	.$5.00	______

**Suburban Stations**
No. 319M	Modern Suburban Station Platform	___	$35.00	______
No. 319T	Traditional Suburban Station Platform	___	$35.00	______
TOTALS
Total order				_________
Sales Tax (NY, NJ, PA)				_________
Shipping				____$5.00
Total due				_________

Note: UPS will not deliver to a Post Office Box No.

Name___________________________________ Home Phone_________________

Address_________________________________ Business Phone __________________

City_______________________________State__________ Zip Code________________

Send Check or Money Order to: Pat Fusco

2028 East 27th Street

Brooklyn, NY 11229-5002

Your Satisfaction is Guaranteed or return product for a full refund.

Print, fill out and mail this form to order. Sorry NO credit card or COD orders.