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Faxable Order Form
Fax this to
1-717-664-2884
Company Name: Contact Name:
Shipping Address: City: St. Zip:
Phone: Fax:
Email Address:

Part Number Description Qty. Color Size Price
           
           
           
           
           
           
           
           
           
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CREDIT CARD INFORMATION
Credit Card # Amer Ex__ MC __ Visa __ Discover __
Name on Card Exp Date: 3-Digit Security Code:
------(Back of Card)
Card Address

YOU MUST TO SUPPLY YOUR STATES DEALER TAX NUMBER OR DIN #
WHEN PLACING YOUR ORDER.
State Dealer Number  
State Sales Tax #  

PRICES SUBJECT TO CHANGE WITHOUT NOTICE - CURRENT PRICE CHANGES MAY NOT BE UPLOADED AT THIS TIME

Important Notice !

NO RETAIL SALES
This is a licensed dealer site only.

All returns will carry a 30 % restock fee + return shipping fees,if the order was returned due to customer error or change of mind. All items must be returned within 30 days of date of sale. After that time period expires, All sales are final. If a return was necessary due to a shipping error on our part, we will waive the restocking and shipping charges.