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ORDERING INFORMATION:
To place an order, print this form then type or print your order information into the form.
Live operators are available to process your order between 9am-4pm CDT
by calling 1-800-225-6508 (in Louisiana, call 985-758-7041)
or your order can be faxed anytime to 985-758-2777.
To print this form, Select "File/Print" or click the Print icon in your browser's taskbar.
Important Note: If paying by credit card, print your name below as it appears on the card.Ordered by: _______________________________________ Date: _______________
Ship to
Address: ______________________________________________________________
City, State, Zip: ______________________________ Phone # ___________________
Credit Card #______________________________ Expiration Date: ________________
Card Type: American Express | Discover | Mastercard | Visa
Year of Car: ________________ Make & Model: ________________________________
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QTY. |
PART # |
YR/MODEL |
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PRICE EACH |
AMOUNT |
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$ |
$________ |
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$ |
$________ |
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$ |
$________ |
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$ |
$________ |
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$ |
$________ |
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$ |
$________ |
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$ |
$________ |
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TOTAL MERCHANDISE ___________ |
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LOUISIANA RESIDENTS ADD 8% TAX ___________ |
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SHIPPING & HANDLING ___________ |
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*TOTAL AMOUNT ___________ |
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MAKE CHECK OR MONEY ORDERS PAYABLE
TO:
VANACOR'S CORVETTE PARTS,
INC.
PO Box 701, Des Allemands, La. 70030
PHONE (800) 225-6508; In Louisiana, call (958) 758-7041
FAX (985) 758-2777
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Created and maintained by Areafocus, Inc. All Rights Reserved. |