Ship to Address Bill to Address
Name: Name:
Address: Address:
Apt. / Suite: Apt. / Suite:
City, State: City, State:
Zip code: Zip code:
Phone: Phone:
Quantity
Model Number
Description
Price Each
Total
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
$24.99 or less the shipping and handling is $6.75
$25.00 to 49.99 the shipping and handling is $7.95
$50.00 to 74.99 the shipping and handling is $9.50
$75.00 to 99.99 the shipping and handling is $12.75
$100.00 to 200.00 the shipping and handling is $18.00
Orders over $200.00 please call for the shipping charges.
Fax Orders to : 541-687-1438

Mail Orders to:
Leading Edge Rocketry
84777 Charlottes Way
Sub Total  
Shipping  
Discount  
Total  
Payment Method:           VISA  ___    Master Card  ___     American Express  ___    Discover  ___    Money Order/Cashiers check  ___    

Card Number:___-___-___-___ ___-___-___-___ ___-___-___-___ ___-___-___-___      Expiration ____-____      Security code___-___-___

Signature _______________________________________ Print Name _____________________________________ Date ____________

By Signing above you are authorizing us to bill your credit card for this order.
If you have any questions or need assistance with your order please contact us at 541-687-4899 between 9:00am and 4:00 pm PST or you
can reach us by email at info@leadingedgerocketry.com.

Prices, specifications and availability are subject to change without notice. Please visit www.leadingedgerocketry.com for complete details.