FALCON SUPPLIES CO. -ORDER FORM (FOR KIT/AFTER-MARKET PRODUCTS) NAME: _______________________ ADDRESS:_______________________ TEL: _________________ _______________________ E-MAIL: _________________ _______________________ FAX: _________________ Quantity Description Price (HK$) Sub-total ________ __________________________ ____________ __________ ________ __________________________ ____________ __________ ________ __________________________ ____________ __________ ________ __________________________ ____________ __________ ________ __________________________ ____________ __________ POSTAGE (AIRMAIL) = __________ POSTAGE: GRAND-TOTAL = __________ AIRMAIL - 25% OF ORDER VALUE OR HK$150 WHICHEVER THE HIGHEST Please debit my Master/Visa card for HK$__________ as follows: Cardholder's name: _____________________________________ Card Number : _____________________________________ Name of card issuing bank/company: ___________________________ Last 3 digits as printed at the back of the credit card: _____ Expiry date: ________(MM)___________(YY) Signature: _____________________________ Date: ___________ PLEASE SEND BACK THIS ORIGINAL ORDER FORM TO: FALCON SUPPLIES COMPANY 401 Chit Lee Commercial Building, 30 Shaukiwan Road, Hong Kong Tel:(852)25679260 Fax:(852)28863001 E-Mail:falcon@hk-hobby.com.hk