Your name:_____________________________ Acct#_________
Street: ______________________________Please, no P.O. boxes!
City:_____________________ State: ________Zip:________
Phone: ______________ Fax:_________________
Make of car:___________ Year:_________ Model:_____________
Credit card #_______________________________
Expiration Date:____________ (if ordering by Visa or MasterCard )
We do not accept personal checks
DESCRIPTION (COLOR IF APPLICABLE)
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.