Have any questions? Call Dave Diamond at 815-923-4391 x431 (leave a message) or email him at ddiamond@irm.org

If paying by credit card:  [  ] American Express     [  ] VISA     [  ] Master Card     [  ] Discover

Total for signs: ordered:

====>Orders are filled on a first paid, first served basis <==== 

The fastest way to submit your order is to print this form, fill it out including your credit card data, and either: (A) Fax it to 815-923-2006 Attn: Cashier OR (B) Scan it and attach the scan file to an email to ddiamond@irm.org.  This will allow us to immediately pull your order and only charge your credit card for the signs we have in stock.  The slower way to submit your order is to mail it in with a check to:  Illinois Railway Museum - Attn: Cashier,  PO Box 427,  Union, IL  60180-0427.

 

 

Sign # _________________________  Description ______________________________________  Cost $ ____________

 

Sign # _________________________  Description ______________________________________  Cost $ ____________

 

Sign # _________________________  Description ______________________________________  Cost $ ____________

 

Sign # _________________________  Description ______________________________________  Cost $ ____________

 

Sign # _________________________  Description ______________________________________  Cost $ ____________

If you have alternate choices should the signs listed above not be available, please list the number(s) here:

 

_____________________________________________________

Shipping Rates for Midwest US states (IL, IN, WI, MI, IA, MO) .

   Signs marked “Shipping Table #1:  $11.95 for the first sign, $2.00 for each additional “Shipping Table #1” sign up to 5.

   Signs marked “Shipping Table #2:  $20.00 for each sign. 

   If you are ordering a larger sign or more than 5, please call or email IRM for the shipping cost.

 

Shipping Rates for all other US states:

   Signs marked “Shipping Table #1” or   “Shipping Table #2:  $20 for each sign.

 

Tube Items:  To better protect car cards and thin maps, they will be shipped in mailing tubes (indicated by “Tube Items”).  This shipping cost is calculated SEPARATELY from all other items at $10 for each tube containing up to 5 “Tube” items.

 

NOTE: Your order may be shipped in multiple packages.

 

Total shipping cost:

(Evening):

State:

ZIP:

Exp. Date:

Name:

Phone (Day):

Address:

City:

Account Number:

Signature:

Total Enclosed:

———————>  Please allow 3-4 weeks for delivery  <———————

Please print all information - Ordering more than 5 items? Use a 2nd sheet

Security Code:

Email:

Ship To Address (ONLY if different from “Bill To”/Credit Card address above):

Address:

City:

State:

ZIP:

December 7, 2013 version