Please use the order form below to submit an email order to us. Once received we will verify the order and add appropriate shipping charges based on the shipping type selected. You will then receive an email response which will then need to be emailed back to us with confirmation that you agree to the amount and quantities within the order and all information is correct (for COD orders) or use the provided payments address to send payment and a copy of the email to us for final order processing.

First Name : * Last Name : * Address 1 : * Address 2 : * City : * State : * Zip : * Country : * Phone : * FAX : * e-mail address : * required feild *

Products requested:

	Part#	Description	Quanity	Price
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

If you wish to add additional parts to your Pre-Pay/COD order please check the radio button below, fill out, and submit the pop-up additional order form. You will still need to finish submitting this form as well

Additional Ordered

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Shipping & Handling:

Priority Mail
International (n/a COD)
Fed Ex Next Day (n/a COD)

Payment Method:

Pre-Paid Check or Money Order (preferred)
COD (additional charges apply)

Other Comments or Requests


Following submission of this form you will be contacted via e-mail, phone, or FAX with a list of the requested items and their total cost, including shipping and CA sales tax if applicable.

If you wish to pay for your order by Credit Card please use our normal Paypal based web ordering system.

   

If you have any questions or comments regarding your order please feel free to email us.


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