Order Form
Phone: 440-878-0904
FAX: 216-263-8368
Date:___________________
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Address
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Address
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State Zip code
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Phone:
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Name
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Address
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Address
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City
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State Zip code
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Phone:
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QTY
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ITEM DESCRIPTION
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SIZE
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COLOR
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LOGO #
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YEAR
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UNIT PRICE
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TOTAL PRICE
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Sub Total Please allow 14 days for delivery *Enter Discount Code here_______________ *Apply Discount Shipping charges are based on the subtotal, UPS Ground. (Ohio Residents only 7.75%)Sales Tax Please call for expedited shipping quote. Shipping See our website for terms, guarantee and return policy Total
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Under $20.00
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$7.00
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$20.01-$40.00
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$9.00
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$40.01- $60.00
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$11.00
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$60.01-$80.00
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$13.00
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$80.01-$100.00
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$14.00
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$100.01 +
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$15.00
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Make money order payable to Classic Auto Gear. No personal checks.
We accept Visa, MasterCard, Discover and American Express
Card No:
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Exp. Date
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Signature
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Security Code
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Mail form to: Classic Auto Gear 11115 Prospect Rd Strongsville, Ohio 44149
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Shipping Charges
US and Canada Orders Only
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Billing Information(Must match credit card)
Shipping Information*
Only complete if different than Billing Information.
Thank You for your order
Billing information on card must be identical to Billing
Information on the order.