| United States Orders Enclosed please find cash, check or money order made payable to Lee R Thevenet...in the amount of $_________ PLEASE NOTE Orders Outside of United States (See Bottom of Order Form) Please send me the Plans CD's that I have indicated below ____ Olds CDO Plans - $20.00 ____REO Plans - $20.00 ____ Ford N Plans - $20.00 ____ Model "T" Ford Speedster Body Plans - $20.00 _____ Pie Wagon Build Package (includes CDO Plans) - $30.00 FREE SHIPPING Please print plainly - I have to decode your writing to send your plans! * Information Needed * Date:_________________________ * Name ______________________________________________________ * Address ____________________________________________________ * City ________________________________________________________ * State ___________________ ZIP _______________________________ E-Mail Address______________________________________________ (Used For Order Shipping Confirmation Only) This is the only way we can let you know that your order has been safely received & shipped... NOTICE NO ORDERS SHIPPED TO MEXICO PLEASE NOTE All other Orders Outside Of United States Add $10.00 for extra postage Checks or Money Orders on US Banks ONLY Accepted |
| www.HorselessCarriageReplicas.com ORDER FORM Print out and mail to: Lee R Thevenet 1657 Grand Anse Hwy. Breaux Bridge, Louisiana 70517 |