Name and Address We value your privacy, and will never release your information.

Clearly print the name and address where you want your order shipped. Within U.S., please use Zip+4 code. LOOK UP YOUR ZIP+4 CODE

Gift Card

If you'd like a nice space-themed gift card enclosed with a handwritten message for $1.95, indicate message here.

Your Phone Number

In case of a problem or delay with your order.

Merchandise Ordered See Catalog for descriptions; see Ordering Information for prices, etc.

Space Craft SCIENCE KITs
(Online versions, which include parts only. Use this website for Assembly Instructions and information: www.SpacecraftKits.com)

___ Hubble at $9.95 ea	___ Galileo at $9.95 ea	___ Mars Global Surveyor at $9.95 ea
___ Lunar Prospector at $9.95 ea	___ Voyager at $9.95 ea	___ Magellan at $9.95 ea

Keck, Mars Polar Lander, Other

___ Keck Telescope Kits at $15.95 ea.

___ Include a Mars Polar Lander Model FREE with order for 2 or more SCIENCE Kits listed above, or one Keck Telescope kit.

Other (specify):

Shipping

___ FREE First Class Mail in USA, Canada, Mexico

___ $4.80 per order for Priority Mail within USA only.

___ $9 per order for shipping elsewhere

Visa, MasterCard, Discover, Novus, or American Express

Credit Card Number |__ |__ |__ |__   |__ |__ |__ |__   |__ |__ |__ |__   |__ |__ |__ |__	Exp Date (Month/Year) |__ |__   |__ |__
Cardholder's Signature: ______________________________________	Total $ ________ Include shipping & tax if applicable.

After filling out, mail to:

SCI Space Craft International P.O. Box 61027 Pasadena, CA 91116-7027

Note: You can cut this out, and use it as a mailing label.

Or fax to SCI: 1-626-398-9600.

If paying by check, our bank requires U.S. funds drawn on a bank in the U.S. Also, International Postal Money Orders are fine. Thank you.