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MAIL ORDER FORM WITH CREDIT CARD INFO, CHECK OR MONEY ORDER TO:

Classic Car Auto Parts
34553 Chisholm Trail
Grand Rapids, Minnesota 55744
www.classiccarautoparts.com
PRODUCT NUMBER PRODUCT NAME QTY COST EACH TOTAL
     
     
     
     
     
     
     
     
     
     
Comments:






NOTE:
  • There is a $20 special oversized handling charge on each gas tank and rocker moulding ordered.

  • Please email or call for shipping quote for mail in orders gas tank or large or heavy parts.

  • International customers should call or email for correct shipping and handling charges.
Sub Total  
SHIPPING CHARGES:
1) Minimum $10.00 shipping charge for purchases
under $50.00.
2) Purchases over $50.00 shipping is 12% of total purchase.
3) Subject to change depending on destination
and part size. 		 
Handling       3.00
Minnesota residents add 6.875% sales tax  
Email us for International S&H Charges  
TOTAL  
ORDERED BY:
Name:
Address:
City/State/Zip:
Phone:
 Email Address:
 METHOD OF PAYMENT:

 _____Mastercard      _____Visa      _____Discover      _____Check      _____Money Order      _____Other______________________

 Credit Card No: ____ ____ ____ ____  /  ____ ____ ____ ____  /  ____ ____ ____ ____  /  ____ ____ ____ ____

 Expiration Date: ____ ____  /  ____ ____         3 Digit Verification Code (from back of card): ____ ____ ____