U.S. Rockets 2001-2004 Order Form

 Qty. Cat.# Description Price  Total    Qty. Cat.# Description  Price  Total
  1024 MINIROC 2 19.95       1042 WARP-1 49.95  
  1027 START 29.95       1044 WARP-3 49.95  
  1013 ALL WEATHER 29.95       1039 STILETTO 89.95  
  1003 AERO-ROC 35.95       1045 BERLINETTA 89.95  
  1059 BANSHEE 35.95       1029 TOMAHAWK 79.95  
  1005 AERO-ROC 3 37.95       1014 PISTON STAGER 59.95  
  1012 INTERROC 39.95       1091 CCV-1 89.95  
  1019 WEIGHTLOFTER 49.95       1030 SONIC 2700 89.95  
  1006 STINGER TWO 49.95       1016 MEGA-ROC 89.95  
  1062 AR2B 49.95       1103 COLOSSUS STINGER TWO 129.95  
  1002 HI-TEST 2225 49.95       1063 SENTRA SRB 139.95  
  1018 TWO THE LIMIT 49.95       1065 SWARM JUNIOR 79.95  
  1032 SONIC 2200 49.95       1072 SONIC 3100 69.95  
  1093 STUB 4 49.95       1073 SONIC 3100 PHASE 2 89.95  
SHIPPING COSTS                                                                                     Subtotal _______________
$0 to $50.00 -- add $5.00
$50.01 to $90.00 -- add $10.00                                                                     Shipping Charges __________
$90.01 to $130.00 -- add $15.00
$150.01 and up     -- add 9%
CANADIAN ORDERS ADD $5.00 TO THE ABOVE                           Total __________________

Name ______________________________________________________________________________
Address ____________________________________________________________________________
City _____________________________________________ State ___________ Zip _______________
Age _________ Telephone-area code (___________) ________________________________________

ORDERING INFORMATION: Orders sent directly to U.S. Rockets are generally
shipped after the date stated in the email confirmation of order.

ORDERS are invoiced on delivery ("Bill on delivery"). Please pay.

Payment should be made by check or money order. We do not accept credit cards.
We reserve the right to activate electronic on-line payment programs.

Since U.S. Rockets cannot control the use of its products once sold, U.S. Rockets cannot be held
responsible for any personal injury or property damage resulting from the use or misuse of its
products. The buyer assumes all risks and liabilities there from and accepts and uses U.S. Rockets
products on these conditions.

Signature (required) __________________________________________________________________

BUSINESS HOURS are unspecified and email orders taken 24 hours a day.
U.S. Rockets
P.O. Box 1242                              Returns subject to 15% restocking fee and actual shipping charges
Claremont, CA 91711 USA            Bill on delivery charges more than 90 days late subject to a 15% penalty and 12% interest thereafter.
                
Please allow 45 days or more for custom orders.

orders@usrockets.com -- www.v-serv.com/usr -- www.usrockets.com
PRINT OUT THIS PAGE FOR CONVENIENT ORDERING WHEN OFFLINE. For other products attach a separate sheet.