Plain Order Form. Print, Fill it Out, and Send it to 3-RI PRINT CLOSE

Remit to: ORDER FORM
Three-Rail Innovations, Inc. Order No. __________
6096 South Lima Street
Englewood, Colorado 80111-5817 Date ___ / ___ / _____

SHIP TO
Name________________________________________ _____________________
Address_____________________________________ Optional E-Mail Address
____________________________________________ (For Ship Notification)
City/State/Zip______________________________

Item Description Price Each Quantity Extended
AUTOMATIC TRAIN XCHANGE
1 ATX Starter Kit, with Manual 25.95 ____ ______
2 Additional ATXs 22.95 ____ ______
 
E-UNIT CYCLER -- BACK-AND-FORTH ... AND MORE
3 EUC Starter Kit, with Manual 25.95 ____ ______
4 Additional EUCs 22.95 ____ ______
 
TWO LIGHTING RELAYS CONTROLLER
5 2LR Starter Kit, with Manual 22.95 ____ ______
6 Additional 2LR Controllers 19.95 ____ ______
 
TWO-RELAY CONTROLLER
7 2RC Starter Kit, with Manual 22.95 ____ ______
8 Additional 2RC Controllers 19.95 ____ ______
 
TRAIN BLOCK CONTROLLER
9 Train Block Controller Operating Manual 5.95 ____ ______
 
10 Train Block Controller (One) 28.95 ____ ______
11 Train Block Controller 3-PACK 79.95 ____ ______
12 Train Block Controller, 5 and UP (Each) 25.95 ____ ______
 
 
SHIPPING & HANDLING ($13.50 Maximum, any order)
13 First (or Only) Controller 4.00
14 Additional Controllers 1.50 ____ ______
 
 
Amount Enclosed ------>       $_____________

Remit to Three-Rail Innovations, Inc. with check or money order, US funds.