Please e-mail your order or use our
online form.
If you would like to fax or mail us your order, print this form, fill it out and send it to:
Corvair Underground
Box 339
Dundee, OR 97115
Fax 1-503-434-1626
|
Please e-mail your order or use our
online form.
If you would like to fax or mail us your order, print this form, fill it out and send it to:
Corvair Underground |
| From: |
| Name |
| Address |
| City, State, Zip |
| Phone Number |
| Year Model |
| Part Number | Description | Quantity | Price |
|---|
| 1. |
| 2. |
| 3. |
| 4. |
| 5. |
| 6. |
| 7. |
| 8. |
| 9. |
| 10. |
| Subtotal |
| ***Shipping and Handling (Extra will be refunded.) |
| Total |
| Method of Payment |
| ______Check or money order enclosed ***please add 15% [or use our shipping charts] for shipping and handling ______Charge Card ***shipping and handling charges will be added to subtotal when order is received
|