Order Form

Form may be submitted on line or sent to Highrailer at the address shown below. We will contact you to confirm your order and total costs. If additional space is needed, please print form and attach any necessary notes or information or email your order to Highrailer. Phone #'s and E-mail address are only used for Highrailer contact reasons and are kept confidential.
The following payment methods are taken by Highrailer: Check, Money Order, and PayPal.
Click here to view Highrailer's PayPal information
Visa & Master Card payments are scheduled to be open by the end of week 10/04/04 and 10/08/04. 

    First Name     MI     Last Name


              Address


      City            State       Zip Code
        -

      Phone #'s
()-- Extention 

()-- Extention 

       E-Mail

Payment Method:     PayPal       
                    Check        
                    Money Order  

Out of stock items. Backorder?  Yes  No

  Part #    QTY           Item Discription            cost ea.  Total
    (Example)
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                                                    Sub Total 
                                   Maine residents add 5% Tax 
                                                          S&H 
                                                        Total

Highrailer
1 Spring Street Connector
Waterville, ME 04901
E-Mail: service@highrailer.com