HOT RAILS, Inc.

NAME:
BILLING ADDRESS:
    Street
    Town , State or CountryZip
SHIPPING ADDRESS:
    Street (cannot be a PO BOX)
    Town , State or Country Zip
           Tel #  neccessary for order delivery
            FAX#  FOREIGN ORDERS ONLY

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QTY	ITEM	DESCRIPTION	PRICE EA.	SOFT SHOE	SHIPPING	TOTAL
QUANITY	GROUND HOGG	8 ft. RAIL / 2 BASES	$199.95	Add $80 ea. Rail	C	TOTAL
QUANITY	STANDARD KINK	8 ft. RAIL / 2 BASES	$259.95	Add $80 ea. Rail	D	TOTAL
QUANITY	STANDARD SLANT	8 ft. RAIL / 2 BASES	$269.95	Add $80 ea. Rail	E	TOTAL
QUANITY	STANDARD BRIDGE	8 ft. RAIL / 2 BASES	$249.95	Add $80 ea. Rail	D	TOTAL
QUANITY	EXTENSION	8 ft. RAIL / 1 CENTER SUPPORT	$127.95	Add $25 ea. Rail	B	TOTAL
_	HOT RAILS T-SHIRTS	IISS/RAI 96 M L XL	$12.95	FREE with Rail Order reg. $2.50	TOTAL
QUANITY	HOT RAILS STICKERS	$1/ each	$1/ ea.	FREE	TOTAL

SUBTOTAL
N.J Orders Add 6% Sales Tax
ADD SHIPPING
TOTAL DUE

IMPORTANT NOTICE:

The Buyer Agrees To The Following: ONLY HOT RAILS PRODUCTS ARE TO BE USED TOGETHER.
In-Line skating and skate boarding can be dangerous sports. Proper safety equipment should be always worn by all participants. Items which are ordered from this form, or from HOT RAILS, Inc., are for advanced skills skaters only. By purchasing any item from HOT RAILS, Inc., the purchaser hereby agrees to release any and all liabilities and/or claims which the purchaser may have due to injury. Purchaser agrees not to pursue any claims against HOT RAILS, Inc., except limited warranty claims of product defect. Purchaser agrees to indemnify HOT RAILS, Inc., in the event of injury to any third party which might use the equipment purchased herein. REMEMBER - YOU MUST ALWAYS WEAR PROPER SAFETY EQUIPMENT!

SIGNED:___________________________________________________________ Date:____________ (must be 18 years of age)

SHIPPING & HANDLING CHARGES

Shipping Codes	A	B	C	D	E	F	G
Ground	2.50	28.50	38.50	47.50	52.80	78.50	139.50
(credit card only) Air	15.00	43.50	76.50	86.50	96.50	143.50	227.50

Credit card information (for faxed or mailed orders only):
    Card #
    Expiration Date
Name of card holder: