PLEASE PRINT THIS FORM AND SEND TO THE ADDRESS BELOW WITH YOUR PAYMENT

MODEL ROCKET SHOP LTD

Please use the email contact form on our web site if you want to send us email.

PLEASE READ AND SIGN THE DECLARATION BELOW. WE CANNOT PROCESS YOUR ORDER UNLESS IT IS SIGNED.

PLEASE READ.....DISCLAIMER OF LIABILITY

The Model Rocket Shop Limited sells only flight proven model rockets, and rocket motors that have been approved by the Health and Safety Executive for import and use in the UK. We make every effort to ensure that these items are safe if used in the prescribed manner. However we can exercise no control over the end use of these products, and can therefore accept no responsibility for any accident, loss, or damage to persons or property caused by the use or intentional misuse of these products. Should any litigation arise from the use or misuse of these products, I the undersigned agree to hold harmless Model Rocket Shop Limited and its employees.

Signed____________________________Print name_________________________ Date______________

Please complete in BLOCK CAPITALS

Name (if different)   ____________________________________________________

Address_____________________________________________________________

____________________________________________________________________

Delivery address (if different)_____________________________________________

_____________________________________________________________________

Telephone ___________________________

Email address _________________________

ORDER FORM

Please fax or mail the completed form to the address at the top of the page.

THANK YOU FOR YOUR ORDER