ORDER FORM                 

Your name:_____________________________  Acct#_________ 

Street: ______________________________Please, no P.O. boxes!

City:_____________________ State: ________Zip:________         

Phone: ______________      Fax:_________________

E-MAIL:___________________________

Make of car:___________ Year:_________ Model:_____________

Credit card #_______________________________

Expiration Date:____________ (if ordering by Visa or MasterCard )           

We do not accept personal checks

Please call for current prices, and shipping charges before sending your money order. as this is based on weight, and delivery time. Texas residents please add 8.25% tax. You can print this page out, and send it with your order, or fax it. Thank You.