FALCON SUPPLIES CO. - ORDER FORM (FOR POSTAGE INCLUDED ITEMS) NAME: _______________________ ADDRESS:_______________________ TEL: _________________ _______________________ E-MAIL: _________________ _______________________ FAX: _________________ Quantity Description Price (HK$) Sub-total ________ __________________________ ____________ __________ ________ __________________________ ____________ __________ ________ __________________________ ____________ __________ ________ __________________________ ____________ __________ ________ __________________________ ____________ __________ GRAND-TOTAL = __________ Please debit my Master/Visa card for HK$__________ 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 1307 Chit Lee Commercial Building, 30 Shaukiwan Road, Hong Kong Tel:(852)25679260 Fax:(852)28863001 E-Mail:falcon@hk-hobby.com.hk