RailGameFan™ Services Order Form - (Copy & Paste into Email) 
Also see the RBP order form and EBP order form

Items                           Quan.   Unit    Extended
                                        Price   Price

Game consultation via telephone ____    $60     $_______
per 15-minute segment, or fraction	

Rail Baron® lost maps           ____    $20      _______
replacement (one fee covers all lost)

EB Pronto™ lost maps            ____    $20      _______
replacement (one fee covers all lost)

Special processing fee          ____    $20      _______
      
Total Number of Items           ____
          
      Subtotal                                  $_______


All orders from outside USA: add 10%             _______


* S/H: $0 for email/phone only, otherwise        _______
$8 to USA, $10 to elsewhere

Maryland residents please add sales tax          _______
      

      Grand Total                               $_______



Payment format: o Check payable to "Intersystem Concepts, Inc." 
                o Mastercard  / o Visa / o Paypal

  Card Num ________________________________ Exp Date ___________

  CCV (3 digits on back) _____  Name on Card ___________________

NOTE: If you pay via a credit card, we need the billing address 
for verification purposes.

Ship to Name _______________________________________
     
Address ____________________________________________
     
City, State Zip ____________________________________
     
Country ____________________________________________
     
Telephone / E-mail ________________________________


Return to: Intersystem Concepts, Inc. / P.O. Box 477 / Fulton, MD 20759 / USA
Voice: 410-531-9000 / E-mail: intersys@insystem.com / Fax: 301-854-9426 then extension
All prices in US dollars and subject to change. Last revision Mar 2012.