ORDER FORM

NAME:
COMPANY:
ADDRESS 1:
ADDRESS 2:
CITY:
STATE:
COUNTRY:
POSTAL CODE:
DAY PHONE:
EVENING PHONE:
FAX:
Email(required)

 

PART REQUEST
 

MAKE OF VEHICLE:
MODEL:
YEAR:
PART REQUEST DESCRIPTION:
PART #: (optional - found during inventory search)
Cost: (optional - if known - found during inventory search)

 

PAYMENT REQUEST
 

VISA:
MASTER CARD:
DISCOVER:
CARD HOLDER'S NAME:
CARD NUMBER:
EXPIRATION DATE:

Please Complete Print Out and Fax Order to: 216-251-2793 

(THIS IS NOT A SECURE ON-LINE ORDER FORM)

 

Conditions of Sale:

ALL MERCHANDISE HAS TO BE PREPAID BEFORE SHIPMENT. ALL PRICES ARE QUOTED PLUS SHIPPING CHARGES (FREIGHT). THE MERCHANDISE IS SOLD "AS-IS" WITHOUT WARRANTY OF FITNESS. WE ARE NOT RESPONSIBLE FOR DAMAGES CAUSED BY INSTALLATION. APPROVAL FOR RETURN MUST BE REQUESTED. ALL ITEMS ARE SUBJECT TO A 20% HANDLING CHARGE. NO REFUNDS WILL BE MADE FOR ELECTRICAL COMPONENTS.