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

MODEL ROCKET SHOP

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 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, Hesperis Technology Ltd and its employees.

Signed____________________________Print name_________________________ Date______________

Please complete in BLOCK CAPITALS

Name (if different)   ____________________________________________________

Address_____________________________________________________________

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Delivery address (if different)_____________________________________________

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Telephone ___________________________

Email address _________________________ ESSENTIAL!

ORDER FORM

Please mail the completed form to the address at the top of the page. MAKE CHEQUES PAYABLE TO HESPERIS TECHNOLOGY LTD.

Thank you for your order!