Peter Kennedy Yacht Services  ----    Order Form

Ordered by:                                                                   Ship to if different:    
Name:                                                                                                                                            
Address:                                                                                                                                        
                                                                                                                                                        
Phone:                                                                                                                                            
E-Mail                                                                                                                                              

Qty                            Items ordered:                                                                               Price

                                                                                                                          
                                                                                                                          
                                                                                                                          
                                                                                                                           
                                                                                                                           
Preferred shipping method (air/ground)                                                                                                  
MD residents will have 5% sales tax added.      Shipping charges additional                                             

Payment Method:
For security reasons the billing address of card must match billing address shown above

Credit card  number:                                                                                                                             
Card Code (Last 3 digits on the back of the card)                                                                      
Expiration date:                                                                                                                                         
Signature and date:                                                                                                                                

Visa, Mastercard, American Express and Discover and PAYPAL accepted.  

Thank you for your order.  
Please fax to: 206 984-9398     or call  toll free  1 888 753-2267 or 410 280-1247
Peter Kennedy Yacht Services.  P.O. Box 3122 Annapolis MD 21403