South Shore Model Railway Club & Museum

P. O. Box 224
Hingham, MA 02043-0224
781-740-2000 Fax 781-740-8900 www.ssmrc.org

Club Location: Bare Cove Park Building 51 19 Fort Hill Street Hingham, MA 02043

LIMITED RUN CLUB ORDER FORM

Step 1. Fill out Sold To and Ship To addresses
Sold To:
Name
Address(1)
Address(2)
City
State Zip
Phone:
Email:
Ship To:(check here if same as sold to)
Name
Address(1)
Address(2)
City
State Zip
Phone:
Email:
Step 2. Enter the quanity for the items you are purchasing.
Quanity Description Price Extension
40' SNE Boxcar with Maple Leaf Logo $34.95  
40' SNE Boxcar with Box Logo $34.95
Special offer: one each SNE logo boxcars
Set counts as 1 item for shipping
$60.00
40' ECL Wood Boxcar Ready-to-Run $19.95
50' ECL Modern Steel Boxcar Ready-to-Run $22.95
Special offer: one each ECL logo boxcars
Set counts as 1 item for shipping
$35.00
Book The Titanic Railroad $30.00
  Total Quanity   Sub Total  
All order shipped to Massachusetts include the required 6.25% Massachusetts sales tax  
Credit Card
Master Card   Visa   Discover

Card Number
Expiration Date(mmyy)

Signature __________________________________
Must be signed to process
Shipping & Handling: 1st Item $6.00 + $1.50 for each additional item Shipping &Handling  
Plaese consider a donation to our building fund, all donations are deductible based on IRS guidelines governing 501c3 organizations. All donations will be acknowleged. Donation to Club $
Step 3. Press the Total Button  
Please make check/money order payable to:
SSMRC
Mail to: SSMRC-Club Cars", PO Box 224, Hingham, MA 02043-0224