This rare piece of Star Trek history came from a big Star Trek’s collectors estate. He had an original Star Trek early draft from the 1st season of the original series, and a mix of other Star Trek collectibles. This form would have been filled out while in the process of filming the 1st season. It is signed by William Shatner at the bottom (as well as the dependent info). There is some wear from age & storage, but overall it is still in good condition. Please see all photos for condition and feel free to ask any questions. Thank you for understanding. This item is in the category “Collectibles\Science Fiction & Horror\Star Trek Collectibles\Other Star Trek Collectibles”. The seller is “dustyshed” and is located in this country: US. This item can be shipped to United States, Canada, United Kingdom, Denmark, Romania, Slovakia, Bulgaria, Czech Republic, Finland, Hungary, Latvia, Lithuania, Malta, Estonia, Australia, Greece, Portugal, Cyprus, Slovenia, Japan, China, Sweden, Korea, South, Indonesia, Taiwan, South Africa, Thailand, Belgium, France, Hong Kong, Ireland, Netherlands, Poland, Spain, Italy, Germany, Austria, Bahamas, Israel, Mexico, New Zealand, Singapore, Switzerland, Norway, Saudi Arabia, United Arab Emirates, Qatar, Kuwait, Bahrain, Croatia, Republic of, Malaysia, Chile, Colombia, Panama, Jamaica, Barbados, Bangladesh, Bermuda, Brunei Darussalam, Bolivia, Egypt, French Guiana, Guernsey, Gibraltar, Guadeloupe, Iceland, Jersey, Jordan, Cambodia, Cayman Islands, Liechtenstein, Sri Lanka, Luxembourg, Monaco, Macau, Martinique, Maldives, Nicaragua, Oman, Pakistan, Paraguay, Reunion, Uruguay.
- Character: Captain Kirk
- Franchise: Star Trek