Web site www.dockyardelectrics.com

WEB ORDER FORM

FROM (Billing/Home Address)

Name

Address

City

State

Zip code

Tel #

Fax #

SHIP TO (To send your packages)

DOCKYARD ELECTRICS LTD.

CrewsInn Marina, Chaguaramas, Trinidad.

Name 

Address 

City

State 

Tel (868) 634 4272

Fax (868) 634 4933

E mail sales@dockyardelectrics.com

Country 

Zip code 

Tel #

Fax #

Signature  You may be asked for a verification signature

Yacht Name

Quantity

Cat #

Model #

Description

Our Price

Total

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Please indicate method of shipping preferred, for shipping rates fax or E-mail this order form we will fax it back with shipping cost for you

Total

Freight

Grand Total

Please tick

Card #

Method of shipping

Method of payment

Cash 

FedEx  

Credit card 

Visa 

Exp date

FedEx 

MasterCard 

Are you yacht in transit

Yes

Surface  

Cheques NO

No