Printable Order Form
Print form and mail to: Triple B Models, 5732 350th St. NE, West Branch, Iowa 52358
Call for any questions at 319-643-2392
(If you need another order form, print this out again.)

Method of Payment: ___Check      ___Money Order      ___Visa     ___Mastercard
Card# __________________________   Expiration Date _____________    
3-Digit VCode (on back of card) _______ Signature __________________________

Name:  
Address:  
City:   State:   Zip:  
Phone #:   Email:  
Country  


Qty. Part # Description Price
       
       
       
       
       
       
       
       
       
       
       
       
       
Taxes
Iowa residents must pay current tax rate for shipping address

Shipping UPS insured (no PO boxes)
1 item-$10.00
2 or more-$10.00 for the first-add $1.00 each additional item
Subtotal  
Discount  
Sales Tax  
Shipping  
Total